Individual provider Active NPI

Doreen W Murray, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Superior Township, MI
National Provider Identifier
1215950852
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
001710 Issued in CT
Practice address
3126 Andora Dr
Superior Township, MI 48198-9657
Phone
(734) 929-2945
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 001710 CT Primary

Addresses

Primary practice location

3126 Andora Dr
Superior Township, MI 48198-9657

Mailing address

3126 Andora Dr
Superior Township, MI 48198-9657
Phone (734) 929-2945

Other identifiers 1

IdentifierTypeStateIssuer
004215291MedicaidCT

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

State licenses

LicenseStateTypeSpecialty
001710CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Surgery Center LLC Past Accepting new patients
Hartford Anesthesiology Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1215950852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 ANDORA DR",
            "city": "SUPERIOR TOWNSHIP",
            "state": "MI",
            "postal_code": "481989657",
            "telephone_number": "734-929-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 ANDORA DR",
            "city": "SUPERIOR TOWNSHIP",
            "state": "MI",
            "postal_code": "481989657",
            "telephone_number": "734-929-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "DOREEN",
        "middle_name": "W",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "001710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215291",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.