Active NPI
Jennifer Lee Morrison, M.D.
- Pediatrics Physician
- White Salmon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD61395606
- Practice address
- 212 NE Skyline Dr
White Salmon, WA 98672-1948 - Phone
- (509) 637-2810
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD11111 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD61395606 | WA | Primary |
Addresses
Primary practice location
212 NE Skyline Dr
White Salmon, WA 98672-1948
Mailing address
PO Box 99
White Salmon, WA 98672-0099
Phone (509) 637-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11111 | WA | MD | Pediatrics Physician |
| MD61395606 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Pediatrics | Current | Accepting new patients |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County, Washington | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County Washington | Current | Accepting new patients | |
| Public Hospital District No. 2, Klickitat County, Washington | Past | Accepting new patients |
Locations
1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
1935 E 19th St
The Dalles, OR 97058
Phone (541) 223-9018
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
Organizations & group practices 6
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.
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Rural Health Clinic/Center
- White Salmon, WA
- NPI 1467961250
-
- Multi-Specialty Clinic/Center
- The Dalles, OR
- NPI 1992094817
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1720428642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986720099",
"telephone_number": "509-637-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 NE SKYLINE DR",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986721948",
"telephone_number": "509-637-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD11111",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD61395606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Salmon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.