Active NPI
Jeanie Kathleen Murray, R.N.
- Registered Nurse
- Fort Worth, TX
National Provider Identifier
1023344074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 254103
- Practice address
- 3840 Hulen St
Suite 400
Fort Worth, TX 76107-7277 - Phone
- (817) 253-6228
- Fax
- (817) 569-5249
- NPI assigned
- Oct 27, 2009
- Last updated
- Oct 27, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 254103 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St
Suite 400
Fort Worth, TX 76107-7277
Mailing address
3840 Hulen St
Suite 400
Fort Worth, TX 76107-7277
Phone (817) 253-6228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254103 | Other | TX | RN |
| 153W00000X | Other | TX | TAXONOMY |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254103 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1023344074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "SUITE 400",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-253-6228",
"fax_number": "817-569-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "SUITE 400",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-253-6228",
"fax_number": "817-569-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "JEANIE",
"middle_name": "KATHLEEN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "254103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "254103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "153W00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.