Individual provider Active NPI

Lori Dawn Murray, CSAC ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Hilo, HI
National Provider Identifier
1063770600
Registry record updated Sep 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1707-12 Issued in HI
Practice address
118 Kamehameha Ave Ste 4
Hilo, HI 96720-2813
Phone
(808) 854-1309
NPI assigned
May 2, 2012
Last updated
Sep 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1707-12 HI Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

118 Kamehameha Ave Ste 4
Hilo, HI 96720-2813

Mailing address

15-280 Puni Makai Loop S
Pahoa, HI 96778-8806
Phone (808) 854-1309

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

State licenses

LicenseStateTypeSpecialty
1707-12HIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347148800000",
    "number": "1063770600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-280 PUNI MAKAI LOOP S",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967788806",
            "telephone_number": "808-854-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 KAMEHAMEHA AVE STE 4",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202813",
            "telephone_number": "808-854-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LORI",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CSAC ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1707-12",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; 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.