Active NPI
Kathy Baxendale Morse, APRN OR PNP
- Nurse Practitioner
- Braselton, GA
National Provider Identifier
1871503987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN208550
- Practice address
- 2695 Old Winder Hwy, Suite 200
Pediatric Associates
Braselton, GA 30517 - Phone
- (770) 965-6894
- Fax
- (770) 287-3871
- NPI assigned
- Aug 9, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN426822 | CA | |
| Nurse Practitioner | 363L00000X | RN208550 | GA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | RN426822 | CA |
Addresses
Primary practice location
2695 Old Winder Hwy, Suite 200
Pediatric Associates
Braselton, GA 30517
Mailing address
1485 Jesse Jewel Parkway, Suite 200
Pediatric Associates
Gainesville, GA 30501
Phone (770) 534-5255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN426822 | Medicaid | CA |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN426822 | CA | MD | Nurse Practitioner |
| RN208550 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates LLP | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Gainesville, GA
- NPI 1245406719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1871503987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 JESSE JEWEL PARKWAY, SUITE 200",
"address_2": "PEDIATRIC ASSOCIATES",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-534-5255",
"fax_number": "770-287-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 OLD WINDER HWY, SUITE 200",
"address_2": "PEDIATRIC ASSOCIATES",
"city": "BRASELTON",
"state": "GA",
"postal_code": "30517",
"telephone_number": "770-965-6894",
"fax_number": "770-287-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "KATHY",
"middle_name": "BAXENDALE",
"name_prefix": "Ms.",
"credential": "APRN OR PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN426822",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN208550",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "RN426822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN426822",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.