Theresa Kelly Murphy

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308939 Issued in NY

Practice address

415 E Main St
Endicott, NY 13760-4925

Phone

(607) 785-2460

Fax

(607) 785-2584

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmurphy@stpulmonary.medentdirect.com

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.

• Southern Tier Pulmonary & Critical Care Medicine LLC

  • Pulmonary Disease Physician
  • Johnson City, NY
  • NPI 1841303070
  Medicare reassignment NPD

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1245705110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053805",
            "telephone_number": "607-341-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604925",
            "telephone_number": "607-785-2460",
            "fax_number": "607-785-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "THERESA",
        "middle_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theresa.murphy@direct.lourdes.com",
            "affiliation": "N",
            "endpointDescription": "Lourdes Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "415 E Main St",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137604925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Ann Morante Laclair, LCSW
• Elizabeth Anne Morrell, FNP-C
• Vanessa A Moschak, MA SLP
• David Michael Muench, DDS
• Matthew Paul Murphy, PT, DPT
• Greta L. Myers, PH.D.
• Sheena Myers
• Kathleen Adams Nedbalski, RN
• Marilyn MK Nelson, MD
• Jessica Marie Netherton, LCSW

• Adult Health Nurse Practitioner in Endicott, NY
• Providers in Endicott, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.