Individual provider Active NPI

Shannon Morris, NP

  • Gerontology Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1689092223
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP07764 Issued in LA
Practice address
4409 Utica St
Ste 100
Metairie, LA 70006-6530
Phone
(504) 457-3687
Fax
(504) 620-0250
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP07764 LA Primary

Addresses

Primary practice location

4409 Utica St
Ste 100
Metairie, LA 70006-6530

Mailing address

4409 Utica St
Ste 100
Metairie, LA 70006-6530
Phone (504) 457-3687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140613000391 LA Practitioner - Nurse Practitioner 1759505753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Nephrology Associates LLCGroup PAC ID 8224070719, 12 clinicians

Practice addresses (Care Compare)

10545 Lake Forest Blvd
New Orleans, LA 70127-2708
Phone (504) 248-4910

14500 Hayne Blvd
New Orleans, LA 70128-1751
Phone (504) 248-7136

3027 Jean Lafitte Pkwy
Chalmette, LA 70043-4035
Phone (504) 457-3687

4409 Utica St
Suite 100
Metairie, LA 70006-6530

4409 Utica St
Suite 100
Metairie, LA 70006-6579
Phone (504) 457-3687

4425 Utica St
Metairie, LA 70006-6530
Phone (504) 455-5535

6101 Elysian Fields Ave
New Orleans, LA 70122-4209
Phone (504) 288-4380

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: smorris24785@direct.acumenmd.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1689092223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST",
            "address_2": "STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066530",
            "telephone_number": "504-457-3687",
            "fax_number": "504-620-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST",
            "address_2": "STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066530",
            "telephone_number": "504-457-3687",
            "fax_number": "504-620-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "AP07764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.