Individual provider Active NPI

Tameika W Morris, ANP-C

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1417045477
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
675747 Issued in TX
Practice address
5300 University Hills Blvd
Dallas, TX 75241-1219
Phone
(214) 941-3500
Fax
(214) 389-1084
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 675747 TX
Adult Health Nurse Practitioner 363LA2200X 675747 TX Primary

Addresses

Primary practice location

5300 University Hills Blvd
Dallas, TX 75241-1219

Mailing address

745 Mulberry LN
Desoto, TX 75115-1426
Phone (972) 230-0493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000162 TX Practitioner - Nurse Practitioner 7618979097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
675747TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medicine of Texas PA Past Accepting new patients
Indelible Health & Wellness LLC Past Accepting new patients
Visiting Physician'S Network, Inc Geriatric Medicine PastSince Feb 10, 2014 Accepting new patients
Extended Medical Management Services, Inc. Past Accepting new patients
Duncanville Mental Health Services PastSince May 7, 2017 Accepting new patients
North Texas Behavioral Health Authority PastSince Apr 24, 2022 Accepting new patients
Harold Wagner DO PA Geriatric Medicine Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1417045477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MULBERRY LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151426",
            "telephone_number": "972-230-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 UNIVERSITY HILLS BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752411219",
            "telephone_number": "214-941-3500",
            "fax_number": "214-389-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TAMEIKA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "675747",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "675747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.