Individual provider Active NPI

Lisa Noelle Morris, NP

  • Women's Health Nurse Practitioner
  • Amsterdam, NY
National Provider Identifier
1730710344
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421623 Issued in NY
Practice address
4104 State Highway 30
Amsterdam, NY 12010-6202
Phone
(518) 883-8634
Fax
(518) 883-8286
NPI assigned
Feb 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95197351 CA
Registered Nurse 163W00000X 863029 NY
Women's Health Nurse Practitioner 363LW0102X 95015036 CA
Women's Health Nurse Practitioner 363LW0102X 421623 NY Primary

Addresses

Primary practice location

4104 State Highway 30
Amsterdam, NY 12010-6202

Mailing address

99 E State St
Gloversville, NY 12078-1293
Phone (518) 775-4205

Other practice location 1

17 Congress Ave
Saratoga Springs, NY 12866-6019
Phone (919) 931-5377

Other practice location 2

4104 Ny-30
Amsterdam, NY 12010
Phone (919) 931-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200824001914 CA Practitioner - Nurse Practitioner 4880011790 Reassigns benefits to 1 organization
I20230104000222 NY Practitioner - Nurse Practitioner 4880011790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95197351CAMDRegistered Nurse
863029NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jul 28, 2020 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Nathan Littauer Hospital Association Current Accepting new patients
Nathan Littauer Hospital Association CurrentSince Dec 1, 2022 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Jul 28, 2020 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Dec 1, 2022 Accepting new patients

Locations

5700 Watt Ave
North Highlands, CA 95660
Phone (916) 332-5715

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

4104 State Highway 30
Amsterdam, NY 12010
Phone (518) 883-8620

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

Interoperability endpoints

  • Direct secure messaging: lmorris.nlh@hixny.net

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1730710344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781293",
            "telephone_number": "518-775-4205",
            "fax_number": "518-775-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106202",
            "telephone_number": "518-883-8634",
            "fax_number": "518-883-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128666019",
            "country_code": "US",
            "telephone_number": "919-931-5377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4104 NY-30",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "12010",
            "country_code": "US",
            "telephone_number": "919-931-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LISA",
        "middle_name": "NOELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95197351",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "863029",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95015036",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.