NPIMap

Individual provider Active NPI

Jacqueline L Murray, PA-C

  • Physician Assistant
  • St George, UT
National Provider Identifier
1215908322
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
126394-1206 Issued in UT
Practice address
640 E 700 S
#105
St George, UT 84770-4023
Phone
(435) 688-7770
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA846 NV
Physician Assistant 363A00000X 126394-1206 UT Primary

Addresses

Primary practice location

640 E 700 S
#105
St George, UT 84770-4023

Mailing address

640 E 700 S
#105
St George, UT 84770-4023
Phone (435) 688-7770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacqueline.murray@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000304 UT Practitioner - Physician Assistant 4082683685 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA846NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 19, 2014 Accepting new patients
Ihc Health Services Inc Physician Assistant CurrentSince Nov 19, 2014 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 12, 2016 Accepting new patients
Joseph D Te MD PC Past Accepting new patients
Enterprise Valley Med Ctr Inc Past Accepting new patients
Desert Edge Medical PastSince Oct 1, 2018 Accepting new patients
Red Cliffs Administrative Services Past Accepting new patients
Judd L Larowe MD PC PastSince Jan 2, 2002 Accepting new patients

Locations

1301 Bertha Howe Ave
Ste 11
Mesquite, NV 89027
Phone (435) 656-2020

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

736 S 900 E
Ste 108
St George, UT 84790
Phone (435) 628-3606

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 10

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1215908322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "#105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-688-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "#105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-688-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JACQUELINE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA846",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "126394-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.murray@direct.imail.org",
            "affiliation": "N",
            "address_1": "640 E 700 S",
            "address_2": "#105",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847704023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.