Individual provider Active NPI

Rosalind M Morris I, LPN MT

  • Community Health Worker
  • Brooklyn, NY
National Provider Identifier
1740657881
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
212885 Issued in NY
Practice address
257 Hancock St
PH-3
Brooklyn, NY 11216-2202
Phone
(347) 260-6884
Fax
(347) 924-9508
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 212885 NY Primary

Addresses

Primary practice location

257 Hancock St
PH-3
Brooklyn, NY 11216-2202

Mailing address

257 Hancock St
PH-3
Brooklyn, NY 11216-2202
Phone (347) 260-6884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
212885NYMDSports Medicine (Orthopaedic Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1740657881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 HANCOCK ST",
            "address_2": "PH-3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162202",
            "telephone_number": "347-260-6884",
            "fax_number": "347-924-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 HANCOCK ST",
            "address_2": "PH-3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162202",
            "telephone_number": "347-260-6884",
            "fax_number": "347-924-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ROSALIND",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LPN MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "212885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.