Individual provider Active NPI

Donna Marie Murtaugh, CRNP

  • Adult Health Nurse Practitioner
  • Grass Valley, CA
National Provider Identifier
1225335920
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
20585 Issued in CA
Practice address
360 Sierra College Dr
Suite 120
Grass Valley, CA 95945-5088
Phone
(530) 477-7390
Fax
(530) 477-7389
NPI assigned
Feb 16, 2011
Last updated
Nov 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP009715 PA
Adult Health Nurse Practitioner 363LA2200X 20585 CA Primary

Addresses

Primary practice location

360 Sierra College Dr
Suite 120
Grass Valley, CA 95945-5088

Mailing address

PO Box 3067
Yuba City, CA 95992-3067
Phone (530) 368-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204002269 CA Practitioner - Nurse Practitioner 7012140411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP009715PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bouchier-Pritchett Family Medicine PC Adult Health CurrentSince Oct 1, 2017 Accepting new patients

Locations

280 Sierra College Dr
Ste 207
Grass Valley, CA 95945
Phone (530) 477-7390

360 Sierra College Dr
Ste 120
Grass Valley, CA 95945
Phone (530) 477-7390

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJJAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJJAD/Endpoint/HGJJAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1225335920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959923067",
            "telephone_number": "530-368-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SIERRA COLLEGE DR",
            "address_2": "SUITE 120",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455088",
            "telephone_number": "530-477-7390",
            "fax_number": "530-477-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTAUGH",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009715",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "20585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.