Individual provider Active NPI

Rachael Murphy, APRN

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1093585283
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030510 Issued in FL
Practice address
1020 E Brandon Blvd Ste 101
Brandon, FL 33511-5560
Phone
(813) 579-3369
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030510 FL Primary

Addresses

Primary practice location

1020 E Brandon Blvd Ste 101
Brandon, FL 33511-5560

Mailing address

2832 Timber Knoll Dr
Valrico, FL 33596-5664
Phone (352) 522-1959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240221000323 FL Practitioner - Nurse Practitioner 3173967890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11030510FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Lee MD Plastic Surgery PLLC CurrentSince Jan 15, 2024 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

1020 E Brandon Blvd
Ste 101
Brandon, FL 33511
Phone (813) 579-3369

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1093585283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 TIMBER KNOLL DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965664",
            "telephone_number": "352-522-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E BRANDON BLVD STE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115560",
            "telephone_number": "813-579-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "RACHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.