Individual provider Active NPI

Kelli Morse, RN

  • School Registered Nurse
  • Long Island City, NY
National Provider Identifier
1902683485
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
764398 Issued in NY
Practice address
4610 Center Blvd Apt PH21
Long Island City, NY 11109-5826
Phone
(929) 285-0122
NPI assigned
Sep 11, 2023
Reactivated
Jan 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 764398 NY Primary

Addresses

Primary practice location

4610 Center Blvd Apt PH21
Long Island City, NY 11109-5826

Mailing address

4610 Center Blvd Apt PH21
Long Island City, NY 11109-5826

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
764398NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1902683485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 CENTER BLVD APT PH21",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 CENTER BLVD APT PH21",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095826",
            "telephone_number": "929-285-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "KELLI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-01-27",
        "certification_date": "2023-09-09",
        "deactivation_date": "2024-03-24",
        "reactivation_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "764398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.