Individual provider Active NPI

Hillary Lissorn Morgan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Seffner, FL
National Provider Identifier
1669589123
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2750432 Issued in FL
Practice address
11710 E US Highway 92
Suite B
Seffner, FL 33584-3476
Phone
(813) 689-8020
Fax
(813) 689-8381
NPI assigned
Aug 23, 2006
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 ARNP2750432 FL Primary

Addresses

Primary practice location

11710 E US Highway 92
Suite B
Seffner, FL 33584-3476

Mailing address

907 N Parsons Ave
Brandon, FL 33510-3107
Phone (813) 689-8020

Other identifiers 1

IdentifierTypeStateIssuer
305845000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031218000558 FL Practitioner - Nurse Practitioner 6709783566 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2750432FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Manor, LLC Current Accepting new patients
Brandon Premier Healthcare PA Family CurrentSince Feb 1, 2013 Accepting new patients
Sunset Point Medical Associates Inc Past Accepting new patients
Ace Care Management Services LLC PastSince Jul 1, 2013 Accepting new patients
Ace Endeavors LLC Past Accepting new patients
Jawan Ayer MD, LLC Past Accepting new patients

Locations

907 N Parsons Ave
Brandon, FL 33510
Phone (813) 689-8020

11710 E US Highway 92
Ste B
Seffner, FL 33584
Phone (813) 689-8020

Interoperability endpoints

  • Direct secure messaging: hmorgan@329.securemail.prognocis.com

Organizations & group practices 6

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1669589123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103107",
            "telephone_number": "813-689-8020",
            "fax_number": "813-689-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 E US HIGHWAY 92",
            "address_2": "SUITE B",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843476",
            "telephone_number": "813-689-8020",
            "fax_number": "813-689-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "HILLARY",
        "middle_name": "LISSORN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2750432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305845000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

Verify at the official NPI Registry.