Individual provider Active NPI

Morgan Monthony, DNP, ARNP, FNP-BC

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1679234488
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11014908 Issued in FL
Practice address
904 E Henry Ave
Tampa, FL 33604-7143
Phone
(813) 510-5105
NPI assigned
Jan 4, 2022
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11014908 FL Primary

Addresses

Primary practice location

904 E Henry Ave
Tampa, FL 33604-7143

Mailing address

2116 Long Ave
Port St Joe, FL 32456-2208
Phone (850) 340-0041

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
I20220518000376 FL Practitioner - Nurse Practitioner 5496132128 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014908FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Traci Thompson MD, PA CurrentSince Apr 11, 2022 Accepting new patients
Grace Community Medical Center PastSince Jan 1, 2022 Accepting new patients

Locations

904 E Henry Ave
Tampa, FL 33604
Phone (813) 501-7796

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, 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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1679234488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 LONG AVE",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324562208",
            "telephone_number": "850-340-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336047143",
            "telephone_number": "813-510-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTHONY",
        "first_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.