Individual provider Active NPI

Myra Anne Morris, ARNP

  • Family Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1609146471
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A149392 Issued in IA
Practice address
4409 Stone Ave
Sioux City, IA 51106-1914
Phone
(712) 389-5702
Fax
(253) 507-4587
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A149392 IA
Family Nurse Practitioner 363LF0000X A149392 IA Primary

Addresses

Primary practice location

4409 Stone Ave
Sioux City, IA 51106-1914

Mailing address

62 Ridgeview Rd
Sioux City, IA 51104-4052
Phone (712) 389-5702

Other names 1

  • Ms. Myra Anne Diaz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20171109000971 IA Practitioner - Nurse Practitioner 1153581756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A149392IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercyone Central Iowa Urgent Care CurrentSince Dec 12, 2023 Accepting new patients
Mercy Medical Services Current Accepting new patients

Locations

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

6601 SW 9th St
Ste 2
Des Moines, IA 50315

2006 N 4th St
Ste 100
Indianola, IA 50125
Phone (515) 241-2000

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1609146471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 RIDGEVIEW RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044052",
            "telephone_number": "712-389-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 STONE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061914",
            "telephone_number": "712-389-5702",
            "fax_number": "253-507-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MYRA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A149392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A149392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "DIAZ",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.