Andrea S McMurry

Individual provider Active NPI Counselor · Ruston, LA

NPI 1003499328 · NPPES record last updated May 4, 2021

Key facts

NPI
1003499328
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1504 S Trenton St
Ruston, LA 71270-6424
Phone
(318) 548-8411
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1504 S Trenton St
Ruston, LA 71270-6424

Mailing address

1504 S Trenton St
Ruston, LA 71270-6424

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2021.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1003499328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 S TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706424",
            "telephone_number": "318-548-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRY",
        "first_name": "ANDREA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

All providers in Ruston, LA · Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.