Elijah Oster-Morris, Pmhnp-BC, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP5553 Issued in AZ

Legal business name

ELIJAH OSTER-MORRIS, PMHNP-BC, PLLC

Practice address

2001 W Orange Grove Rd
312
Tucson, AZ 85704-1139

Phone

(520) 977-1582

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Elijah Mohammed Oster-Morris, PMHNP, BCNPI 1144631797

Title

Owner

Phone

(520) 977-1582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Oster-Morris, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1144631797
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1487067195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87653",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857547653",
            "telephone_number": "520-977-1582",
            "fax_number": "520-844-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD",
            "address_2": "312",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041139",
            "telephone_number": "520-977-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH OSTER-MORRIS, PMHNP-BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "OSTER-MORRIS",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-977-1582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP, BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.