Bonnie Lee Morehead, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R851964 Issued in MS

Practice address

204 Duval St
Vicksburg, MS 39183-8207

Phone

(601) 630-0132

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Housecall Practitioners Inc.

  • Acute Care Nurse Practitioner
  • Vicksburg, MS
  • NPI 1558302992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1891894101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DUVAL ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838207",
            "telephone_number": "601-630-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DUVAL ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838207",
            "telephone_number": "601-630-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHEAD",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R851964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Moore
• Margret Moore, MS CCC-SLP
• Tanzania Mala Moore
• Thomas C Moore, MD
• Sheila Yvonne Moran
• Morgan Dentistry, PA
• Margie Morgan, LMFT
• Pierce Mil Morgan, D.M.D
• Kayla Moriarty, LCSW
• Jeffrey Morris, MD

• Family Nurse Practitioner in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.