Individual provider Active NPI

Kathy Baxendale Morse, APRN OR PNP

  • Nurse Practitioner
  • Braselton, GA
National Provider Identifier
1871503987
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN208550 Issued in GA
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

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN426822MedicaidCA

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

LicenseStateTypeSpecialty
RN426822CAMDNurse Practitioner
RN208550GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.