Angie Cristina Morillas, MD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

528657 Issued in MN

Practice address

6013 Killarney LN S
Edina, MN 55436-1811

Phone

(614) 817-7007

NPI assigned

Jun 28, 2017

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regents of the University of Minnesota

  dba Community-University Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1114019858
  NPD
• Regents of the University of Minnesota

  dba University of Minnesota Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery Clinic/Center
  • Minneapolis, MN
  • NPI 1164763629
  NPD
• Regents of the University of Minnesota

  dba Boynton Health Service

  • Clinic Pharmacy
  • Minneapolis, MN
  • NPI 1528288875
  NPD

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1700307022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE RM 6-284B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-626-3478",
            "fax_number": "612-301-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 KILLARNEY LN S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361811",
            "telephone_number": "614-817-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORILLAS",
        "first_name": "ANGIE",
        "middle_name": "CRISTINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "57.029154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Todd Morehead
• Anna Mitie Morgan
• Brittany Morgan, MD
• James H Morgan, MD
• Jennifer S Morgan, MD
• Alison Marie Morley, MS, ATC
• Morningside Family Physicians
• Megan Moroshek
• Julie Mortenson
• Mosaic Therapy Group

• Speech-Language Pathologist in Edina, MN
• Providers in Edina, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.