Individual provider Active NPI

Detries R Morris, NP

  • Family Nurse Practitioner
  • Stonewall, LA
National Provider Identifier
1861583874
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03499 Issued in LA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1556548MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000703 LA Practitioner - Nurse Practitioner 0244424117 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Sep 26, 2022 Accepting new patients
Christus Health Central Louisiana CurrentSince Oct 1, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 26, 2022 Accepting new patients
Christus Health Central Louisiana CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.