Sandra A Murdock

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-10304 Issued in AZ

Practice address

102 N Florence St
Casa Grande, AZ 85122-4419

Phone

(520) 836-1675

Fax

(520) 836-1668

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1023339744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E COTTONWOOD LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222514",
            "telephone_number": "520-836-1688",
            "fax_number": "520-421-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N FLORENCE ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224419",
            "telephone_number": "520-836-1675",
            "fax_number": "520-836-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "SANDRA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ms. Vickie'S Healing Place, LLC
• Mt Moriah Medical Center PC
• Norman E Mudd, MA, LMFT
• Aliyah Mufti
• Garland Munns, CRNA
• Nicholas Murray
• Timothy Murray, MC
• Aditya Muthu, NP
• Gerald Muthu, M.D,
• My Nurse Doc CG PLLC

• Addiction (Substance Use Disorder) Counselor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.