Individual provider Active NPI

Mitzi L Murray, MD, MA

  • Clinical Genetics (M.D.) Physician
  • Anacortes, WA
National Provider Identifier
1164632170
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD 60037544 Issued in WA
Practice address
3905 Rockridge Pkwy
Anacortes, WA 98221-4515
Phone
(206) 446-8516
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics Physician 207SG0203X MD 60037544 WA
Clinical Genetics (M.D.) Physician 207SG0201X MD 60037544 WA Primary

Addresses

Primary practice location

3905 Rockridge Pkwy
Anacortes, WA 98221-4515

Mailing address

3905 Rockridge Pkwy
Anacortes, WA 98221-4515
Phone (206) 446-8516

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
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 60037544WAMDClinical Molecular Genetics Physician

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1164632170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 ROCKRIDGE PKWY",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214515",
            "telephone_number": "206-446-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 ROCKRIDGE PKWY",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214515",
            "telephone_number": "206-446-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MITZI",
        "middle_name": "L",
        "credential": "MD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "WA",
            "license": "MD 60037544",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "WA",
            "license": "MD 60037544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.