Individual provider Active NPI

Elizabeth McCloy Morris, PNP

  • Nurse Practitioner
  • Herndon, VA
National Provider Identifier
1609942838
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001150236 Issued in VA
Practice address
12950 Highland Crossing Drive
Ste. H
Herndon, VA 20171
Phone
(703) 860-4200
Fax
(703) 860-1528
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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 0001150236 VA Primary
Nurse Practitioner 363L00000X 0024164022 VA

Addresses

Primary practice location

12950 Highland Crossing Drive
Ste. H
Herndon, VA 20171

Mailing address

12950 Highland Crossing Drive
Ste. H
Herndon, VA 20171
Phone (703) 860-4200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001150236VAMDNurse Practitioner
0024164022VAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1609942838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 HIGHLAND CROSSING DRIVE",
            "address_2": "STE. H",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-860-4200",
            "fax_number": "703-860-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 HIGHLAND CROSSING DRIVE",
            "address_2": "STE. H",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-860-4200",
            "fax_number": "703-860-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ELIZABETH",
        "middle_name": "MCCLOY",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001150236",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.