Bianca Symone-Raveen Morris, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704368201 Issued in MI

Practice address

24629 Berry Ave
Warren, MI 48089-2170

Phone

(586) 362-0951

NPI assigned

Feb 24, 2020

Last updated

Dec 8, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Cleansing the Derma

  • In Home Supportive Care Agency
  • Warren, MI
  • NPI 1316606262
  NPD Authorized official

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1861026395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24629 BERRY AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892170",
            "telephone_number": "586-362-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24629 BERRY AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892170",
            "telephone_number": "586-362-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "BIANCA",
        "middle_name": "SYMONE-RAVEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704368201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844650213",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiara Moore
• Robert I Moretsky, D.O.
• Catherine Moritz, LMSW
• Thomas Morneau II, DPT
• Morning Star Dental
• Laporsche Chanell Morris
• Sade Morris
• Katrina Morrison, COTA
• Allan Harvey Morton, D.O.
• Bernice Morton

• Registered Nurse in Warren, MI
• Providers in Warren, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.