Individual provider Active NPI

Chrisettia B Morgan, APRN, DNP, FNP-C

  • Adult Medicine Physician
  • San Antonio, TX
National Provider Identifier
1750864823
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
F09180344 Issued in TX
Practice address
24619 Ahava
San Antonio, TX 78261-2233
Phone
(682) 352-2984
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X F09180344 TX Primary

Addresses

Primary practice location

24619 Ahava
San Antonio, TX 78261-2233

Mailing address

5507 E. Evans Rd Ste 104
Box 119
San Antonio, TX 78261-2233
Phone (210) 323-3712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190625003988 TX Practitioner - Nurse Practitioner 1153655188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F09180344TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Mobile Wound Care Current Accepting new patients
Morgan Family Practice & Home Care Services, PLLC CurrentSince Nov 22, 2020 Accepting new patients
Vibrancy Body Health and Wellness Center Inc Current Accepting new patients

Locations

5507 E Evans Rd
Ste 104
San Antonio, TX 78261

Organizations & group practices 3

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1750864823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 E. EVANS RD STE 104",
            "address_2": "BOX 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612233",
            "telephone_number": "210-323-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24619 AHAVA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612233",
            "telephone_number": "682-352-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHRISETTIA",
        "middle_name": "B",
        "credential": "APRN, DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "F09180344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.