Individual provider Active NPI

Tailar Murphy, APN, WHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1073143756
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5016037 Issued in NC
Practice address
1907 S 17TH St
Wilmington, NC 28401-6679
Phone
(615) 620-5535
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016037 NC
Women's Health Nurse Practitioner 363LW0102X 26911 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5016037 NC Primary

Addresses

Primary practice location

1907 S 17TH St
Wilmington, NC 28401-6679

Mailing address

1907 S 17TH St
Wilmington, NC 28401-6679
Phone (615) 620-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005003820 NC Practitioner - Nurse Practitioner 7315376720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Wellness Center of Wilmington IncGroup PAC ID 6002843752, 14 clinicians

Practice addresses (Care Compare)

1907 S 17TH St
Suite 1
Wilmington, NC 28401-6680
Phone (910) 343-8424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5016037NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Mathew Counseling CurrentSince Sep 15, 2024 Accepting new patients
Trinity Wellness Center of Wilmington Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

1000 Corporate Dr
Ste 301
Hillsborough, NC 27278
Phone (910) 343-8424

1907 S 17th St
Wilmington, NC 28401
Phone (615) 620-5535

1907 S 17th St
Ste 1
Wilmington, NC 28401
Phone (877) 603-6199

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1073143756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016679",
            "telephone_number": "615-620-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016679",
            "telephone_number": "615-620-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "TAILAR",
        "credential": "APN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016037",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "26911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.