Individual provider Active NPI

Raynor Meredith Murphy, M.S., CCC-SLP, CLC

  • Speech-Language Pathologist
  • Mount Juliet, TN
National Provider Identifier
1033862354
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7368 Issued in TN
Practice address
368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Phone
(615) 443-4445
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7368 TN Primary

Addresses

Primary practice location

368 Quarry Loop Rd
Mt Juliet, TN 37122-7206

Mailing address

368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Phone (615) 443-4445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raynor@dynamictherapycenter.com Direct

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
Master of Science

State licenses

LicenseStateTypeSpecialty
7368TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1033862354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "615-443-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "615-443-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "RAYNOR",
        "middle_name": "MEREDITH",
        "credential": "M.S., CCC-SLP, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raynor@dynamictherapycenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "368 Quarry Loop Rd",
            "city": "MT Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371227206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.