Individual provider Active NPI

Ryan Stanton Morris, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo West, CO
National Provider Identifier
1558746362
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0991950-NP Issued in CO
Practice address
270 West John Powell Blvd
Pueblo West, CO 81007-1775
Phone
(719) 619-9543
Fax
(719) 544-0822
NPI assigned
Jul 22, 2015
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0991950-NP CO Primary
Registered Nurse 163W00000X RN.0201436 CO

Addresses

Primary practice location

270 West John Powell Blvd
Pueblo West, CO 81007-1775

Mailing address

1220 E. Bijou St.
Colorado Springs, CO 80909
Phone (719) 619-9543

Other identifiers 1

IdentifierTypeStateIssuer
17300053MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220124002027 NY Practitioner - Nurse Practitioner 3779860044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Settlement Society of New YorkGroup PAC ID 4486545662, 7 clinicians

Practice addresses (Care Compare)

184 Eldridge St
New York, NY 10002-2924
Phone (212) 674-9120

2090 Adam Clayton Powell Jr Blvd
FL 4
New York, NY 10027-4941
Phone (212) 553-6751

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0201436COMDRegistered Nurse
APN.0991950-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Settlement Society of New York CurrentSince Nov 10, 2024 Accepting new patients
Center for Alternative Sentencing and Employment Services CurrentSince Feb 3, 2022 Accepting new patients

Locations

151 Lawrence St
Fl 3
Brooklyn, NY 11201
Phone (212) 553-6300

184 Eldridge St
New York, NY 10002
Phone (212) 453-4509

2090 Adam Clayton Powell Jr Blvd
Fl 4
New York, NY 10027
Phone (212) 553-6708

Organizations & group practices 2

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1558746362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E. BIJOU ST.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-619-9543",
            "fax_number": "833-544-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 WEST JOHN POWELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071775",
            "telephone_number": "719-619-9543",
            "fax_number": "719-544-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RYAN",
        "middle_name": "STANTON",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0991950-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0201436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17300053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

Verify at the official NPI Registry.