Healthcare Provider Details

I. General information

NPI: 1295386415
Provider Name (Legal Business Name): RICKIVAH C MORGAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 M ST NW
WASHINGTON DC
20037-1415
US

IV. Provider business mailing address

2240 M ST NW WARD 2
WASHINGTON DC
20037-1415
US

V. Phone/Fax

Practice location:
  • Phone: 772-801-9140
  • Fax:
Mailing address:
  • Phone: 772-801-9140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP1042845
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number00024178100
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC003782
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: