Active NPI
Kristine Pennella McMurray, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Everett, WA
National Provider Identifier
1073820288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60169850
- Practice address
- 811 Madison St
Everett, WA 98203-4543 - Phone
- (425) 212-4200
- Fax
- (425) 212-4220
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60169850 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60169850 | WA | Primary |
Addresses
Primary practice location
811 Madison St
Everett, WA 98203-4543
Mailing address
PO Box 2569
Everett, WA 98213-0569
Phone (425) 212-4200
Other practice location 1
8927 W Tucannon Ave Ste 102
Kennewick, WA 99336-7176
Phone (509) 572-9330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009335 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60169850 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Services, Inc. | Current | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients | |
| Raymond H Sjerven DO | Past | Accepting new patients | |
| Desert Sage Psychiatry | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
2500 E College Way
Mount Vernon, WA 98273
Phone (360) 336-3762
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
- NPI 1104573963
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1013092550
-
- Family Medicine Physician
- Kennewick, WA
- NPI 1407913767
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1073820288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2569",
"city": "EVERETT",
"state": "WA",
"postal_code": "982130569",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034543",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4220"
}
],
"practiceLocations": [
{
"address_1": "8927 W Tucannon Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993367176",
"country_code": "US",
"telephone_number": "509-572-9330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMURRAY",
"first_name": "KRISTINE",
"middle_name": "PENNELLA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60169850",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60169850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009335",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.