Active NPI
Pamela Mundy Morrison, RN, MSN, FNP-BC
- Nurse Practitioner
- Aylett, VA
National Provider Identifier
1801067483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024167720
- Practice address
- 11814 King William Rd
Aylett, VA 23009-4103 - Phone
- (804) 769-3002
- Fax
- (804) 769-1253
- NPI assigned
- Mar 21, 2008
- Last updated
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024167720 | VA | Primary |
Addresses
Primary practice location
11814 King William Rd
Aylett, VA 23009-4103
Mailing address
11814 King William Rd
P O Box 213
Aylett, VA 23009-4103
Phone (804) 769-3002
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167720 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Virginia, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nursing Facility/Intermediate Care Facility
- Brentwood, TN
- NPI 1538304225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1801067483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11814 KING WILLIAM RD",
"address_2": "P O BOX 213",
"city": "AYLETT",
"state": "VA",
"postal_code": "230094103",
"telephone_number": "804-769-3002",
"fax_number": "804-769-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11814 KING WILLIAM RD",
"city": "AYLETT",
"state": "VA",
"postal_code": "230094103",
"telephone_number": "804-769-3002",
"fax_number": "804-769-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "PAMELA",
"middle_name": "MUNDY",
"credential": "RN, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-21",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024167720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aylett, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.