Active NPI
Mary W Murdock, MSN, CNM
- Advanced Practice Midwife
- Chattanooga, TN
National Provider Identifier
1265741979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 5993
- Practice address
- 979 E 3Rd St
Suite a-440
Chattanooga, TN 37403-2136 - Phone
- (423) 266-6116
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 5993 | TN | Primary |
Addresses
Primary practice location
979 E 3Rd St
Suite a-440
Chattanooga, TN 37403-2136
Mailing address
979 E 3Rd St
Suite a-440
Chattanooga, TN 37403-2136
Phone (423) 266-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522662 | Medicaid | TN |
Other names 1
- Mary Womack
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
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5993 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1265741979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "SUITE A-440",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-266-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "SUITE A-440",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-266-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "MARY",
"middle_name": "W",
"credential": "MSN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "5993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522662",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WOMACK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.