Individual provider Active NPI

Renee Y Morrell, CERTIFIED TEACHER

  • Specialist
  • Mount Vernon, NY
National Provider Identifier
1992044952
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
162144021 Issued in NY
Practice address
427 Highland Ave
Mount Vernon, NY 10553-2108
Phone
(718) 705-2262
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 162144021 NY Primary
Specialist 174400000X 615649051 NY
Specialist 174400000X 999590001 NY

Addresses

Primary practice location

427 Highland Ave
Mount Vernon, NY 10553-2108

Mailing address

427 Highland Ave
Mount Vernon, NY 10553-2108
Phone (718) 705-2262

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

State licenses

LicenseStateTypeSpecialty
162144021NYMDSpecialist
615649051NYMDSpecialist
999590001NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1992044952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HIGHLAND AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105532108",
            "telephone_number": "718-705-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHLAND AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105532108",
            "telephone_number": "718-705-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "RENEE",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "162144021",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "615649051",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "999590001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.