Active NPI
Elaine Murray, RN CNP
- Reproductive Endocrinology Physician
- Lilydale, MN
National Provider Identifier
1285666545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- R0457569
- Practice address
- 991 Sibley Memorial Hwy
#100
Lilydale, MN 55118 - Phone
- (651) 379-3110
- Fax
- (651) 379-3111
- NPI assigned
- Jul 7, 2006
- Last updated
- Aug 14, 2009
- 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | R0457569 | MN | Primary |
Addresses
Primary practice location
991 Sibley Memorial Hwy
#100
Lilydale, MN 55118
Mailing address
2828 Chicago Ave
Suite 400
Minneapolis, MN 55407-1544
Phone (612) 863-5390
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704393 | Other | MN | MEDICA |
| 2349339 | Other | MN | AMERICAS PPO |
| 33348 1025463 | Other | MN | PREFERRED ONE |
| 43183 | Other | MN | HEALTH PARTNERS |
| 376G4MU | Other | MN | BLUE CROSS |
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)
- Not enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0457569 | MN | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1285666545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 CHICAGO AVE",
"address_2": "SUITE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071544",
"telephone_number": "612-863-5390",
"fax_number": "612-863-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 SIBLEY MEMORIAL HWY",
"address_2": "#100",
"city": "LILYDALE",
"state": "MN",
"postal_code": "55118",
"telephone_number": "651-379-3110",
"fax_number": "651-379-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "ELAINE",
"credential": "RN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MN",
"license": "R0457569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0704393",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "2349339",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "33348 1025463",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "43183",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "376G4MU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lilydale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.