Individual provider Active NPI

Marilyn Jasmine Murray, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1265287171
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP0065309 Issued in DC
Practice address
6507 Tassia Dr
Alexandria, VA 22315-6081
Phone
(202) 412-3235
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X NP0065309 DC Primary

Addresses

Primary practice location

6507 Tassia Dr
Alexandria, VA 22315-6081

Mailing address

6507 Tassia Dr
Alexandria, VA 22315-6081
Phone (202) 412-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250428001093 DC Practitioner - Nurse Practitioner 1355865700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindbodypinnacle Health LLCGroup PAC ID 5395100507, 2 clinicians

Practice addresses (Care Compare)

9811 Mallard Dr
Suite 120
Laurel, MD 20708-3180
Phone (443) 713-8643

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP0065309DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbodypinnacle Health LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

9811 Mallard Dr
Ste 120
Laurel, MD 20708
Phone (443) 713-8643

9811 Mallard Dr
Ste 210
Laurel, MD 20708
Phone (443) 713-8643

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1265287171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TASSIA DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223156081",
            "telephone_number": "202-412-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TASSIA DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223156081",
            "telephone_number": "202-412-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MARILYN",
        "middle_name": "JASMINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP0065309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.