Active NPI
Autumn Beth Whitlock-Morales, MD
- Pediatrics Physician
- Kingsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R9558
- Practice address
- 1311 E General Cavazos Blvd Ste 201
Kingsville, TX 78363-7123 - Phone
- (361) 595-2223
- Fax
- (361) 595-9687
- NPI assigned
- Jun 25, 2006
- Last updated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22119 | WV | |
| Internal Medicine Physician | 207R00000X | 39466 | IA | |
| Pediatrics Physician | 208000000X | 39466 | IA | |
| Pediatrics Physician | 208000000X | R9558 | TX | Primary |
Addresses
Primary practice location
1311 E General Cavazos Blvd Ste 201
Kingsville, TX 78363-7123
Mailing address
2900 Saint Michael Dr Ste 401
Texarkana, TX 75503-5211
Phone (903) 614-5372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX | |
| 3810005860 | Medicaid | WV |
Other names 1
- Autumn Beth Whitlock-Morales
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 E General Cavazos Blvd
Kingsville, TX 78363-7123
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39466 | IA | MD | Internal Medicine Physician |
| R9558 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| C H Wilkinson Physician Network | Internal Medicine | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Spohn Health System Corporation | Past | Accepting new patients |
Locations
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
1311 Gen Cvazos Blvd
Ste 1
Kingsville, TX 78363
Phone (361) 592-8531
2900 Saint Michael Dr
Ste 401
Texarkana, TX 75503
Phone (903) 614-5353
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- amoraleswhitlock249091@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
Internal Medicine
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba CHRISTUS Spohn Hospital Kleberg
- General Acute Care Hospital
- Kingsville, TX
- NPI 1093783391
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Spohn Hospital Kleberg
- General Acute Care Hospital
- Kingsville, TX
- NPI 1093783391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1972539302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SAINT MICHAEL DR STE 401",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035211",
"telephone_number": "903-614-5372",
"fax_number": "903-614-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 E GENERAL CAVAZOS BLVD STE 201",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783637123",
"telephone_number": "361-595-2223",
"fax_number": "361-595-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOCK-MORALES",
"first_name": "AUTUMN",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "22119",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "39466",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "39466",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R9558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005860",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUTUMN",
"last_name": "WHITLOCK-MORALES",
"middle_name": "BETH",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kingsville, TX
- Walgreen Co (Walgreens #03917)
- Sherin Walker, PHARM.D.
- Walter a. del Gallo, M.D.,P.a.
- West Wharton County Hospital District (Lone Star Ranch Rehabilitation and Healthcare Center)
- Lena Lou Wheeler, LCSW
- Women's and Men's Health Services of the Coastal Bend, Inc.
- Stern S Yeh
- Crystal Suzanne Yount, RPH
- Your Care LLC (URcare Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.