Individual provider Active NPI

Brenda Sue Morison, PA-C

  • Surgical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1528091295
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA666 Issued in TN
Practice address
900 E Oak Hill Ave Ste 500
Knoxville, TN 37917
Phone
(865) 647-3350
Fax
(865) 647-3359
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2674 OK
Surgical Physician Assistant 363AS0400X PA666 TN Primary

Addresses

Primary practice location

900 E Oak Hill Ave Ste 500
Knoxville, TN 37917

Mailing address

900 E Oak Hill Ave Ste 500
Knoxville, TN 37917-4523
Phone (865) 647-3350

Other identifiers 2

IdentifierTypeStateIssuer
1514170MedicaidTN
4304245OtherTNBCBS TN

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2674OKMDOptometrist
PA666TNMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1528091295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E OAK HILL AVE STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174523",
            "telephone_number": "865-647-3350",
            "fax_number": "865-647-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E OAK HILL AVE STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-647-3350",
            "fax_number": "865-647-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISON",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2674",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514170",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4304245",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.