Active NPI
Marie Carmel Morency, NURSE SPECIALIST
- Adult Psychiatric/Mental Health Registered Nurse
- Fort Polk, LA
National Provider Identifier
1871643577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 371114-1
- Practice address
- 6911 Ellis CT Apt a
Fort Polk, LA 71459-3124 - Phone
- (337) 531-0168
- Fax
- (337) 531-3175
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 371114-1 | NY | Primary |
Addresses
Primary practice location
6911 Ellis CT Apt a
Fort Polk, LA 71459-3124
Mailing address
6911 Ellis CT Apt a
Fort Polk, LA 71459-3124
Phone (337) 531-0168
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 371114-1 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871643577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 ELLIS CT APT A",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714593124",
"telephone_number": "337-531-0168",
"fax_number": "337-531-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 ELLIS CT APT A",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714593124",
"telephone_number": "337-531-0168",
"fax_number": "337-531-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENCY",
"first_name": "MARIE",
"middle_name": "CARMEL",
"credential": "NURSE SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "371114-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.