Individual provider Active NPI

Autumn Brianne Morris, CPNP-PC

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1629306709
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP118426 Issued in TX
Practice address
1500 W Rosedale St
Fort Worth, TX 76104-7403
Phone
(682) 885-3426
Fax
(682) 885-7699
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP118426 TX Primary

Addresses

Primary practice location

1500 W Rosedale St
Fort Worth, TX 76104-7403

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (817) 885-1855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amorris135829@CookChildrens.direct-ci.com

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
I20100201000773 TX Practitioner - Nurse Practitioner 3779626635 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network CurrentSince Mar 8, 2023 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Cook Children's Physician Network CurrentSince Mar 8, 2023 Accepting new patients

Locations

1850 Brown Blvd
Arlington, TX 76006
Phone (817) 702-1510

3115 W Pipeline Rd
Bldg D
Euless, TX 76040
Phone (817) 702-3366

1320 W Everman Pkwy
Fort Worth, TX 76134
Phone (817) 702-4788

1500 W Rosedale St
Fort Worth, TX 76104
Phone (682) 885-3426

8376 Mojave Trl
Fort Worth, TX 76116
Phone (682) 628-2531

5300 Buchanan St
Fort Worth, TX 76114
Phone (817) 702-2595

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

4640 Sycamore School Rd
Fort Worth, TX 76133
Phone (817) 289-0289

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

901 W Rosedale St
Ft Worth, TX 76104
Phone (260) 482-7447

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

3050 Timberline Dr
Grapevine, TX 76051
Phone (470) 554-7902

901 W Broad St
Mansfield, TX 76063
Phone (706) 580-4017

8200 O Brian Way
North Richland Hills, TX 76180
Phone (817) 702-4855

1029 N Saginaw Blvd
Ste E3
Saginaw, TX 76179
Phone (469) 343-1399

8301 Downe Dr
White Settlement, TX 76108
Phone (817) 702-3334

Interoperability endpoints

  • Direct secure messaging: amorris135829@cookchildrens.direct-ci.com

Organizations & group practices 3

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": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1629306709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "817-885-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047403",
            "telephone_number": "682-885-3426",
            "fax_number": "682-885-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "AUTUMN",
        "middle_name": "BRIANNE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP118426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amorris135829@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1500 W Rosedale St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761047403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.