Active NPI
Janice S Morrissette, RN
- Prosthetic/Orthotic Supplier
- Mobile, AL
National Provider Identifier
1447340971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 156
- Practice address
- 7000 Airport Blvd
Mobile, AL 36608-3713 - Phone
- (251) 343-4979
- Fax
- (251) 343-6013
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 156 | AL | Primary |
Addresses
Primary practice location
7000 Airport Blvd
Mobile, AL 36608-3713
Mailing address
7000 Airport Blvd
Mobile, AL 36608-3713
Phone (251) 343-4979
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631008104 TRICARE | Other | AL | DME PROIDER |
| 009964120 | Medicaid | AL | |
| 631008104 ACM | Other | AL | DME SUPPLIER |
| 0440974 MEDICAID | Other | MS | DME PROVIDER |
| 510-56006 BCBS | Other | AL | DME PROVIDER |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156 | AL | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1447340971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083713",
"telephone_number": "251-343-4979",
"fax_number": "251-343-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083713",
"telephone_number": "251-343-4979",
"fax_number": "251-343-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSETTE",
"first_name": "JANICE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "AL",
"license": "156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PROIDER",
"identifier": "631008104 TRICARE",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009964120",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME SUPPLIER",
"identifier": "631008104 ACM",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PROVIDER",
"identifier": "0440974 MEDICAID",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PROVIDER",
"identifier": "510-56006 BCBS",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.