Active NPI
Myra Kay Morissette, CRNP
- Adult Health Nurse Practitioner
- Russellville, AL
National Provider Identifier
1992071591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1129315
- Practice address
- 1369A George Wallace Hwy
Russellville, AL 35654-3281 - Phone
- (256) 331-9700
- Fax
- (256) 331-2615
- NPI assigned
- Mar 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1129315 | AL | Primary |
Addresses
Primary practice location
1369A George Wallace Hwy
Russellville, AL 35654-3281
Mailing address
1369A George Wallace Hwy
Russellville, AL 35654-3281
Phone (256) 331-9700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1129315 | AL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1992071591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369A GEORGE WALLACE HWY",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356543281",
"telephone_number": "256-331-9700",
"fax_number": "256-331-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1369A GEORGE WALLACE HWY",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356543281",
"telephone_number": "256-331-9700",
"fax_number": "256-331-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORISSETTE",
"first_name": "MYRA",
"middle_name": "KAY",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1129315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.