Individual provider Active NPI

Jonathan David Morgan, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1457931172
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030385 Issued in TX
Practice address
740 Hospital Dr Ste 300
Beaumont, TX 77701-4666
Phone
(409) 212-8111
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1030385 TX Primary

Addresses

Primary practice location

740 Hospital Dr Ste 300
Beaumont, TX 77701-4666

Mailing address

2 John Loop
Lumberton, TX 77657-7406
Phone (409) 790-9817

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
I20210902000278 TX Practitioner - Nurse Practitioner 2668878455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Ear, Nose and Throat, LLPGroup PAC ID 8426063736, 14 clinicians

Practice addresses (Care Compare)

740 Hospital Dr
Suite 300
Beaumont, TX 77701-4664

740 Hospital Dr
Suite 300
Beaumont, TX 77701-4666
Phone (409) 212-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1030385TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Ear, Nose & Throat, LLP CurrentSince Aug 30, 2021 Accepting new patients
Dermatology and Laser Medicine of Southeast Texas PLLC PastSince Apr 1, 2021 Accepting new patients
Alpesh D. Desai, D.O. P.a. PastSince Apr 1, 2021 Accepting new patients

Locations

740 Hospital Dr
Ste 300
Beaumont, TX 77701
Phone (409) 212-8111

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1457931172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOHN LOOP",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577406",
            "telephone_number": "409-790-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014666",
            "telephone_number": "409-212-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.