Individual provider Active NPI

Stacy L Murphy, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1104435791
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G163173 Issued in IA
Practice address
1527 Albia Rd
Ottumwa, IA 52501-3907
Phone
(641) 682-8772
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 123811 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G163173 IA Primary

Addresses

Primary practice location

1527 Albia Rd
Ottumwa, IA 52501-3907

Mailing address

1527 Albia Rd FL 4
Ottumwa, IA 52501-3907
Phone (641) 682-8772

Other practice location 1

3600 30th St Bldg 6M
Des Moines, IA 50310-5753
Phone (641) 891-1717

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL abes71@live.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123811IAMDPsychiatric/Mental Health Registered Nurse
G163173IAMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: smurphy620559@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1104435791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD FL 4",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013907",
            "telephone_number": "641-682-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013907",
            "telephone_number": "641-682-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 30th St Bldg 6M",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503105753",
            "country_code": "US",
            "telephone_number": "641-891-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-05-20",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "123811",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G163173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abes71@live.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3600 30th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503105753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.