Active NPI
Kathryn Diane Morris, MSN, RN, FNP-BC
- Nurse Practitioner
- Summersville, WV
National Provider Identifier
1891770103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 40555
- Practice address
- 400 Fairview Heights Rd
Suite 302
Summersville, WV 26651-9308 - Phone
- (304) 872-7063
- Fax
- (304) 872-7080
- NPI assigned
- Dec 8, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 40555 | WV | Primary |
Addresses
Primary practice location
400 Fairview Heights Rd
Suite 302
Summersville, WV 26651-9308
Mailing address
PO Box 310
Summersville, WV 26651-0310
Phone (304) 872-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7103076000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40555 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summersville Pediatrics Inc. | Past | Accepting new patients |
Interoperability endpoints
- kathrynmorris@summersvillepediatrics.ssdirect.aprima.com
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.
-
- Specialist
- Summersville, WV
- NPI 1134197882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1891770103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266510310",
"telephone_number": "304-872-7063",
"fax_number": "304-872-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"address_2": "SUITE 302",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-7063",
"fax_number": "304-872-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KATHRYN",
"middle_name": "DIANE",
"credential": "MSN, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "40555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7103076000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.