Individual provider Active NPI

Denisha Nicole Morgan, BSN, RN

  • Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1902363997
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2008029526 Issued in MO
Practice address
4973 Oleatha Ave
Saint Louis, MO 63139-1224
Phone
(314) 393-7431
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041396590 IL
Registered Nurse 163W00000X 2008029526 MO Primary

Addresses

Primary practice location

4973 Oleatha Ave
Saint Louis, MO 63139-1224

Mailing address

4973 Oleatha Ave
Saint Louis, MO 63139-1224
Phone (618) 960-5836

Other practice location 1

11042 Manchester Rd
Kirkwood, MO 63122-1244
Phone (618) 960-5836

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041396590ILMDRegistered Nurse
2008029526MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1902363997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 OLEATHA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391224",
            "telephone_number": "618-960-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4973 OLEATHA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391224",
            "telephone_number": "314-393-7431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11042 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631221244",
            "country_code": "US",
            "telephone_number": "618-960-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DENISHA",
        "middle_name": "NICOLE",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041396590",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008029526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.