Individual provider Active NPI

Morgan Laine Moss, AUD

  • Audiologist
  • Beaumont, TX
National Provider Identifier
1467027839
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81267 Issued in TX
Practice address
740 Hospital Dr Ste 310
Beaumont, TX 77701-4666
Phone
(409) 981-1700
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81267 TX Primary

Addresses

Primary practice location

740 Hospital Dr Ste 310
Beaumont, TX 77701-4666

Mailing address

301 Bland Dr
Bridge City, TX 77611-3705
Phone (409) 782-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604000204 TX Practitioner - Qualified Audiologist 5799184115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81267TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Ear, Nose & Throat, LLP CurrentSince Jun 1, 2021 Accepting new patients

Locations

740 Hospital Dr
Ste 310
Beaumont, TX 77701
Phone (409) 981-1700

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1467027839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BLAND DR",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113705",
            "telephone_number": "409-782-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR STE 310",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014666",
            "telephone_number": "409-981-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MORGAN",
        "middle_name": "LAINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.