Individual provider Active NPI

Ming Morris

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1700330891
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004630 Issued in CA
Practice address
1322 E Shaw Ave Ste 410
Fresno, CA 93710-7904
Phone
(559) 226-1316
NPI assigned
Aug 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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 95004630 CA Primary

Addresses

Primary practice location

1322 E Shaw Ave Ste 410
Fresno, CA 93710-7904

Mailing address

40 S Main St
Ste 1300
Memphis, TN 38103-5513
Phone (901) 422-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181214001048 CA Practitioner - Nurse Practitioner 2567724016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95004630CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Nephrology Medical Group CurrentSince Mar 31, 2019 Accepting new patients

Locations

2535 16th St
Bakersfield, CA 93301
Phone (661) 308-8777

5030 Office Park Dr
#A
Bakersfield, CA 93309
Phone (661) 323-2847

Interoperability endpoints

  • Direct secure messaging: ming.morris.p1@direct.ariachc.nextgenshare.com
  • Direct secure messaging: ming.morris.p1@direct.trihci.nextgenshare.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": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1700330891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST",
            "address_2": "STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "901-422-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE STE 410",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107904",
            "telephone_number": "559-226-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-07",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.