Individual provider Active NPI

Raven Shunteal Morris, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1699293779
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09427 Issued in LA
Practice address
9118 Bluebonnet Centre Blvd FL 2
Baton Rouge, LA 70809-2993
Phone
(225) 368-2311
Fax
(225) 368-2280
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134927 TX
Family Nurse Practitioner 363LF0000X AP09427 LA Primary

Addresses

Primary practice location

9118 Bluebonnet Centre Blvd FL 2
Baton Rouge, LA 70809-2993

Mailing address

9118 Bluebonnet Centre Blvd FL 2
Baton Rouge, LA 70809-2993
Phone (225) 368-2311

Other practice location 1

4201 Fairmont Pkwy Apt 2205
Pasadena, TX 77504-3321
Phone (985) 992-6147

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
I20200228000584 LA Practitioner - Nurse Practitioner 8224465422 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134927TXMDNurse Practitioner
AP09427LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management LLC CurrentSince Sep 21, 2020 Accepting new patients

Locations

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
Phone (225) 368-2300

9118 Bluebonnet Centre Blvd
Fl 2
Baton Rouge, LA 70809
Phone (225) 368-2300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699293779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD FL 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2311",
            "fax_number": "225-368-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD FL 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2311",
            "fax_number": "225-368-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Fairmont Pkwy Apt 2205",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775043321",
            "country_code": "US",
            "telephone_number": "985-992-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RAVEN",
        "middle_name": "SHUNTEAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134927",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.