Active NPI
Detries R Morris, NP
- Family Nurse Practitioner
- Stonewall, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP03499
- Practice address
- 4974 Highway 3276 Ste C
Stonewall, LA 71078-9306 - Phone
- (318) 681-4500
- Fax
- (318) 681-4356
- NPI assigned
- Sep 27, 2006
- Last updated
- Oct 8, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP03499 | LA | Primary |
Addresses
Primary practice location
4974 Highway 3276 Ste C
Stonewall, LA 71078-9306
Mailing address
4974 Highway 3276 Ste C
Stonewall, LA 71078-9306
Phone (318) 681-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1556548 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Christus Health Central Louisiana | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Christus Health Central Louisiana | Current | Accepting new patients |
Locations
1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
4974 Highway 3276
Ste B1
Stonewall, LA 71078
Phone (318) 681-4344
Interoperability endpoints
- dmorris612523@christushealth.direct-ci.net
Organizations & group practices 5
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.
-
dba Calcasieu Urgent Care
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
dba CHRISTUS Coushatta Health Care Center
- Critical Access Hospital
- Coushatta, LA
- NPI 1205824208
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1043894231
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
dba CHRISTUS St. Frances Cabrini Hospital
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1861583874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 HIGHWAY 3276 STE C",
"city": "STONEWALL",
"state": "LA",
"postal_code": "710789306",
"telephone_number": "318-681-4500",
"fax_number": "318-681-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 HIGHWAY 3276 STE C",
"city": "STONEWALL",
"state": "LA",
"postal_code": "710789306",
"telephone_number": "318-681-4500",
"fax_number": "318-681-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DETRIES",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP03499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1556548",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stonewall, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.