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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.