Susan Diane Morris, RN CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R1233083 Issued in MN

Practice address

7200 Valley Creek Plaza
Target Clinic Woodbury
Woodbury, MN 55125

Phone

(651) 735-7083

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Susan Morris Elwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Clinical Practice Management, P.C.

  • Family Medicine Physician
  • McHenry, IL
  • NPI 1588760458
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497855860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SPRING STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551024412",
            "telephone_number": "651-587-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 VALLEY CREEK PLAZA",
            "address_2": "TARGET CLINIC WOODBURY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-735-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "RN CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1233083",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ELWELL",
            "middle_name": "MORRIS",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seonna Moreland
• Michelle Marie Morgan, DC
• Abbie Moritko
• Andrew John Moritz, ATC, CSCS
• Allison Marie Morning, NP-C
• Grant C Morrison, MD
• Patrick Anthony Morrissey, DPT
• Kenya S Morrow
• Carol Ann Mortensen, DC
• Keely Mortenson, LMFT

• Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Nurse Practitioner in Minnesota

• 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.

Verify at the official NPI Registry.