Individual provider Active NPI

Judy K Morris, LNM

  • Advanced Practice Midwife
  • Bristol, CT
National Provider Identifier
1639221385
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000057 Issued in CT
Practice address
122 Maple St
Bristol, CT 06010-5038
Phone
(860) 583-1800
Fax
(860) 584-4256
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 000057 CT Primary

Addresses

Primary practice location

122 Maple St
Bristol, CT 06010-5038

Mailing address

122 Maple St
Bristol, CT 06010-5038
Phone (860) 583-1800

Other identifiers 1

IdentifierTypeStateIssuer
000057OtherCTNURSE MIDWIFE - LICENSED

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000057CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Damian T Horner DO Family Practice PastSince Feb 10, 2014 Accepting new patients
Warren Healthcare Associates, Inc PastSince Sep 1, 2017 Accepting new patients

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1639221385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MAPLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105038",
            "telephone_number": "860-583-1800",
            "fax_number": "860-584-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAPLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105038",
            "telephone_number": "860-583-1800",
            "fax_number": "860-584-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JUDY",
        "middle_name": "K",
        "credential": "LNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE MIDWIFE - LICENSED",
            "identifier": "000057",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.