Active NPI
Morgan Holm
- Acute Care Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1972107308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RNP.267326
- Practice address
- 284 W 32ND St
Yuma, AZ 85364-8152 - Phone
- (928) 341-4563
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.427211 | OH | |
| Registered Nurse | 163W00000X | RN.267326 | AZ | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0027122 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | RNP.267326 | AZ | Primary |
Addresses
Primary practice location
284 W 32ND St
Yuma, AZ 85364-8152
Mailing address
7266 E 37TH PL
Yuma, AZ 85365-1409
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.267326 | AZ | MD | Registered Nurse |
| RN.427211 | OH | MD | Registered Nurse |
| RNP.267326 | AZ | MD | Acute Care Nurse Practitioner |
| APRN.CNP.0027122 | OH | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1972107308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7266 E 37TH PL",
"city": "YUMA",
"state": "AZ",
"postal_code": "853651409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 W 32ND ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648152",
"telephone_number": "928-341-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "MORGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.427211",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN.267326",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.0027122",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "RNP.267326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.