Active NPI
Roland Vern Morrison, R.N., D.C.
- Chiropractor
- Caldwell, ID
National Provider Identifier
1497770796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA 702
- Practice address
- 309 E Logan St
Caldwell, ID 83605-4863 - Phone
- (208) 455-0678
- Fax
- (208) 455-0679
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA 702 | ID | Primary |
Addresses
Primary practice location
309 E Logan St
Caldwell, ID 83605-4863
Mailing address
11433 Lawrence Dr
Caldwell, ID 83607-9719
Phone (208) 454-5147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA 702 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497770796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11433 LAWRENCE DR",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836079719",
"telephone_number": "208-454-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E LOGAN ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054863",
"telephone_number": "208-455-0678",
"fax_number": "208-455-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "ROLAND",
"middle_name": "VERN",
"name_prefix": "Dr.",
"credential": "R.N., D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA 702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.