Active NPI
Judy K Morris, LNM
- Advanced Practice Midwife
- Bristol, CT
National Provider Identifier
1639221385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000057
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057 | Other | CT | NURSE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000057 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damian T Horner DO Family Practice | Past | Accepting new patients | |
| Warren Healthcare Associates, Inc | Past | 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.
-
- Family Medicine Physician
- Warren, PA
- NPI 1154745255
-
- Specialist
- Warren, PA
- NPI 1316982341
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.