Individual provider Active NPI

Eboni Camielle Murraine, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1275170565
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019052147 Issued in AL
Practice address
7000 Adventist Blvd NW
Huntsville, AL 35896-0001
Phone
(256) 726-7840
Fax
(256) 726-7471
NPI assigned
Dec 5, 2019
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019052147 AL Primary

Addresses

Primary practice location

7000 Adventist Blvd NW
Huntsville, AL 35896-0001

Mailing address

7000 Adventist Blvd NW
Huntsville, AL 35896-0001
Phone (256) 726-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210622001349 AL Practitioner - Nurse Practitioner 6608277124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019052147ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raynon a. Andrews, MD, PC CurrentSince Jul 5, 2021 Accepting new patients
Oakwood College Counseling & Health Services PastSince Dec 9, 2019 Accepting new patients

Locations

1878 Jeff Rd NW
Ste A
Huntsville, AL 35806
Phone (256) 489-8650

6971 Research Park Blvd NW
Ste A
Huntsville, AL 35806
Phone (256) 489-8606

Interoperability endpoints

  • Direct secure messaging: eboni.murraine.1@18217.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18217/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1275170565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ADVENTIST BLVD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358960001",
            "telephone_number": "256-726-7840",
            "fax_number": "256-726-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 ADVENTIST BLVD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358960001",
            "telephone_number": "256-726-7840",
            "fax_number": "256-726-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAINE",
        "first_name": "EBONI",
        "middle_name": "CAMIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "2019052147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.