Derrick Lashawn Morton Jr.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA21039 Issued in FL

Practice address

13886 Citrus Grove Blvd
West Palm Beach, FL 33412-3212

Phone

(216) 357-8643

NPI assigned

Jul 27, 2020

Reactivated

Oct 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1467061416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13886 CITRUS GROVE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123212",
            "telephone_number": "216-357-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13886 CITRUS GROVE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123212",
            "telephone_number": "216-357-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "DERRICK",
        "middle_name": "LASHAWN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "deactivation_date": "2023-10-12",
        "reactivation_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12975",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morselife Hospice Institute, Inc. (Palm Beach Hospice by MorseLife)
• Morselife Housing Corporation
• Morselife Housing Corporation, Inc. (The Tradition of the Palm Beaches)
• Sharon Rosemarie Mortimer, LCSW
• Rory E Mortman, DDS
• Jayson Kenneth Morton, D.C.
• Sheena Morton, COTA/L
• Amanda Moscoso Diaz
• Kevin Moscoso Diaz
• Mark Moser, MD

• Speech-Language Pathologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.