Individual provider Active NPI

Pamela J Morgan, ARNP

  • Family Nurse Practitioner
  • Perry, FL
National Provider Identifier
1639379480
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2521692 Issued in FL
Practice address
616 S Jefferson St
Perry, FL 32347-4115
Phone
(850) 584-5876
Fax
(850) 584-4939
NPI assigned
Jul 20, 2007
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2521692 FL Primary

Addresses

Primary practice location

616 S Jefferson St
Perry, FL 32347-4115

Mailing address

616 S Jefferson St
Perry, FL 32347-4115
Phone (850) 584-5876

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

State licenses

LicenseStateTypeSpecialty
ARNP2521692FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Disorders Clinic, Inc CurrentSince May 21, 2013 Accepting new patients

Locations

1401 Centerville Rd
Ste 510
Tallahassee, FL 32308
Phone (850) 671-2215

Organizations & group practices 1

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1639379480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323474115",
            "telephone_number": "850-584-5876",
            "fax_number": "850-584-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323474115",
            "telephone_number": "850-584-5876",
            "fax_number": "850-584-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2521692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.