Individual provider Active NPI

Marta Murphy Cogburn, FNP-BC

  • Family Nurse Practitioner
  • Newport, TN
National Provider Identifier
1295973014
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005350 Issued in TN
Practice address
434 4TH St
Suite 310
Newport, TN 37821-3746
Phone
(423) 623-0640
Fax
(423) 623-7615
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 APN0000005350 TN Primary

Addresses

Primary practice location

434 4TH St
Suite 310
Newport, TN 37821-3746

Mailing address

434 Fourth St
Suite 310
Newport, TN 37821-3735
Phone (423) 623-0640

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

State licenses

LicenseStateTypeSpecialty
5350TNMDClinical Social Worker
APN0000005350TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas W. Conway PastSince Jul 13, 2010 Accepting new patients

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1295973014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 FOURTH ST",
            "address_2": "SUITE 310",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213735",
            "telephone_number": "423-623-0640",
            "fax_number": "423-623-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 4TH ST",
            "address_2": "SUITE 310",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213746",
            "telephone_number": "423-623-0640",
            "fax_number": "423-623-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGBURN",
        "first_name": "MARTA",
        "middle_name": "MURPHY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.