Individual provider Active NPI

Mary Katherine Murphy, WHNP/FNP-C

  • Family Nurse Practitioner
  • Crescent City, FL
National Provider Identifier
1255313045
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2120582 Issued in FL
Practice address
306 Union Ave
Crescent City, FL 32112-4432
Phone
(386) 698-1232
Fax
(386) 325-1086
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2120582 FL Primary
Women's Health Nurse Practitioner 363LW0102X 2120582 FL

Addresses

Primary practice location

306 Union Ave
Crescent City, FL 32112-4432

Mailing address

900 Magnolia Ter
Flagler Beach, FL 32136-3473
Phone (386) 503-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090430000468 FL Practitioner - Nurse Practitioner 7012065006 Reassigns benefits to 2 organizations
I20220802002852 GU Practitioner - Nurse Practitioner 7012065006 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2120582FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated CurrentSince Nov 1, 2015 Accepting new patients
Rural Health Care Incorporated Current Accepting new patients
Takecare Insurance Company Inc. CurrentSince Jun 27, 2022 Accepting new patients
Rural Health Care, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Doctors Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Doctors Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients
Kashyap Patel MD PA PastSince Sep 10, 2004 Accepting new patients

Locations

306 Union Ave
Crescent City, FL 32112
Phone (386) 698-1232

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1255313045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAGNOLIA TER",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363473",
            "telephone_number": "386-503-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 UNION AVE",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321124432",
            "telephone_number": "386-698-1232",
            "fax_number": "386-325-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "WHNP/FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2120582",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "2120582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, FL

Sources for this page

Verify at the official NPI Registry.