Active NPI
Maria Morris, LAC
- Acupuncturist
- Ketchum, ID
National Provider Identifier
1790195766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU 225
- Practice address
- 220 South 2ND Ave #101
Ketchum, ID 83340 - Phone
- (208) 721-7240
- NPI assigned
- Apr 30, 2014
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU 225 | ID | Primary |
Addresses
Primary practice location
220 South 2ND Ave #101
Ketchum, ID 83340
Mailing address
PO Box 5952
Ketchum, ID 83340-5952
Phone (208) 721-7240
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACU 225 | ID | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1790195766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5952",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833405952",
"telephone_number": "208-721-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SOUTH 2ND AVE #101",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-721-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MARIA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ID",
"license": "ACU 225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.