Individual provider Active NPI

Kristin Lackey Murphy

  • Community Health/Public Health Clinical Nurse Specialist
  • High Point, NC
National Provider Identifier
1144827189
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X
License
279854 Issued in NC
Practice address
501 E Green Dr
High Point, NC 27260-6707
Phone
(336) 641-5591
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 279854 NC Primary

Addresses

Primary practice location

501 E Green Dr
High Point, NC 27260-6707

Mailing address

900 E Naomi St
Randleman, NC 27317-9476
Phone (828) 312-4163

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
279854NCMDCommunity Health/Public Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1144827189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E NAOMI ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179476",
            "telephone_number": "828-312-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E GREEN DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272606707",
            "telephone_number": "336-641-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KRISTIN",
        "middle_name": "LACKEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "NC",
            "license": "279854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.