Active NPI
Madison Elizabeth Morris, ATC, LAT
- Athletic Trainer
- Rocky Mount, VA
National Provider Identifier
1780155747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 700 Tanyard Rd
Rocky Mount, VA 24151-1510 - Phone
- (540) 239-2998
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
700 Tanyard Rd
Rocky Mount, VA 24151-1510
Mailing address
6006 Windcrest LN
Roanoke, VA 24012-6958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000032004 | Other | VA | NATA-BOC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1780155747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 WINDCREST LN",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240126958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 TANYARD RD",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511510",
"telephone_number": "540-239-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MADISON",
"middle_name": "ELIZABETH",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA-BOC",
"identifier": "2000032004",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.