Venita Weaver Morell, MD

Key facts

NPI

1922067669

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

ME66289 (FL)

Practice address

221 Hospital Dr NE
Fort Walton Beach, FL 32548-5066

Phone

(850) 833-9233

Fax

(850) 833-9252

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

No

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.

• Florida Department of Health Public Health or Welfare Agency · Defuniak Springs, FL · NPI 1790746535
  Medicare reassignment NPD FL

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: venita.morell.1@15074.direct.athenahealth.com
• Direct secure messaging: venita.morell.1@19478.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2012.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1922067669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485066",
            "telephone_number": "850-833-9233",
            "fax_number": "850-833-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485066",
            "telephone_number": "850-833-9233",
            "fax_number": "850-833-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "VENITA",
        "middle_name": "WEAVER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268448900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

• Lauren Renea Moore, MD
• Sara McNeil Moore, RBT
• Mary Katherine Moreau, PT
• Sergio G Moreira Jr., M.D.
• Robert C Morell, MD
• Candace Victoria Morgan
• Christie Michele Morgan, LMT
• Cole Patton Morgan, DPT
• Donna M Morgan, MPA
• Alicia R. Morneault, PA-C

All providers in Fort Walton Beach, FL · Family Medicine Physician in Florida