Active NPI
Theresa M Morris, PA-C
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1982785226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0000499
- Practice address
- 6701 N Charles St
Department of Labor and Delivery
Baltimore, MD 21204-6808 - Phone
- (443) 849-2577
- NPI assigned
- Oct 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0000499 | MD | Primary |
Addresses
Primary practice location
6701 N Charles St
Department of Labor and Delivery
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0000499 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1982785226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "DEPARTMENT OF LABOR AND DELIVERY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "THERESA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0000499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.