Comassa Kollie Morris

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

12152 Jonquil St NW
Coon Rapids, MN 55433-1769

Phone

(763) 280-3807

NPI assigned

Oct 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 1Absolute Supplemental Nursing, LLC

  • Home Health Agency
  • Coon Rapids, MN
  • NPI 1295589893

  Home Health

  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1750008678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12152 JONQUIL ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331769",
            "telephone_number": "763-280-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 JONQUIL ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331769",
            "telephone_number": "763-280-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "COMASSA",
        "middle_name": "KOLLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan McCoy Moritz, PA
• Nicole Marie Moritz
• Hannah Mork, AUD
• Jody Mork, MA
• Christine Frances Morris, LMFT
• Patrick Tihinin Morris
• Teresa Morris, LMFT
• Jessica Lynn Morton, LMFT
• Gemma Shirani Mosher, ADT124/LDH7581
• Nathaniel Scott Mosley, DPT

• All providers in Coon Rapids, MN
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.