Individual provider Active NPI

Roberta Kurner Morehouse, CPNP

  • Pediatric Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1437122199
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN034990 Issued in AZ
Practice address
961 N McQueen Rd
Chandler, AZ 85225-8145
Phone
(480) 222-8080
Fax
(480) 222-3574
NPI assigned
Feb 10, 2006
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN034990 AZ Primary

Addresses

Primary practice location

961 N McQueen Rd
Chandler, AZ 85225-8145

Mailing address

961 N McQueen Rd
Chandler, AZ 85225-8145
Phone (480) 222-8080

Other identifiers 1

IdentifierTypeStateIssuer
532392MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN034990AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald I. Jones M.D,P.C. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1437122199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258145",
            "telephone_number": "480-222-8080",
            "fax_number": "480-222-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258145",
            "telephone_number": "480-222-8080",
            "fax_number": "480-222-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHOUSE",
        "first_name": "ROBERTA",
        "middle_name": "KURNER",
        "name_prefix": "Prof.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN034990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532392",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.