Individual provider Active NPI

Timothy Lawrence Morrison, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1518076140
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
662034 Issued in TX
Practice address
4795 College St
Beaumont, TX 77707-3810
Phone
(409) 656-6400
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007955 KY
Family Nurse Practitioner 363LF0000X 662034 TX Primary

Addresses

Primary practice location

4795 College St
Beaumont, TX 77707-3810

Mailing address

4795 College St
Beaumont, TX 77707-3810
Phone (409) 656-6400

Other identifiers 1

IdentifierTypeStateIssuer
50065635OtherKYPASSPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050216000986 TX Practitioner - Nurse Practitioner 1658323738 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Medical Care Center PLLCGroup PAC ID 4486943966, 2 clinicians

Practice addresses (Care Compare)

4795 College St
Beaumont, TX 77707-3810
Phone (409) 842-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
662034TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Aug 1, 2009 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Feb 15, 2018 Accepting new patients
Immediate Medical Care Center PLLC CurrentSince Jun 1, 2016 Accepting new patients
Port Arthur Emergency Physicians CurrentSince Jan 21, 2017 Accepting new patients
Emergency Health Services Associates, P.a. Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
Texas Em-I Medical Services, PA Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

4795 College St
Beaumont, TX 77707
Phone (409) 656-6400

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3939 Dowlen Rd
Ste 19
Beaumont, TX 77706
Phone (409) 899-7800

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1518076140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073810",
            "telephone_number": "409-656-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073810",
            "telephone_number": "409-656-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "TIMOTHY",
        "middle_name": "LAWRENCE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007955",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "662034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50065635",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.