Individual provider Active NPI

Miata Danielle Morgan, APRN

  • Women's Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1497492714
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
11019162 Issued in FL
Practice address
1010 Plum LN
Birmingham, AL 35214-3677
Phone
(205) 413-9532
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 11019162 FL Primary

Addresses

Primary practice location

1010 Plum LN
Birmingham, AL 35214-3677

Mailing address

1010 Plum LN
Birmingham, AL 35214-3677
Phone (205) 413-9532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240828003095 AL Practitioner - Nurse Practitioner 5193105468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11019162FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Board of Health Current Accepting new patients
Jefferson County Board of Health CurrentSince May 17, 2024 Accepting new patients
Jefferson County Board of Health CurrentSince May 17, 2024 Accepting new patients
Jefferson County Board of Health Current Accepting new patients

Locations

1400 6th Ave S
Birmingham, AL 35233
Phone (205) 933-9110

631 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 241-5257

Interoperability endpoints

  • Direct secure messaging: miata.morgan.1@17358.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1497492714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PLUM LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352143677",
            "telephone_number": "205-413-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PLUM LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352143677",
            "telephone_number": "205-413-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MIATA",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11019162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.