Active NPI
Connorie Jeane Murray, PA
- Physician Assistant
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11868464-1206
- Practice address
- 185 S 400 E Ste 100
Bountiful, UT 84010-4862 - Phone
- (801) 397-6200
- NPI assigned
- Jul 17, 2019
- Last updated
- Mar 4, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9112272 | FL | |
| Physician Assistant | 363A00000X | 11868464-1206 | UT | Primary |
Addresses
Primary practice location
185 S 400 E Ste 100
Bountiful, UT 84010-4862
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326691569 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CMURRAY57986@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112272 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Past | Accepting new patients | |
| Prohealth Select, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- cmurray57986@direct.med.utah.edu
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
dba Ogden Clinic PC
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
-
dba Department of Pediatrics
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1487018974
-
dba Pediatric Infectious Disease
- Pediatric Infectious Diseases Physician
- Salt Lake City, UT
- NPI 1285098855
-
dba Pediatric Cardiology Electrophysiology Services
- Electrodiagnostic Medicine Physician
- Salt Lake City, UT
- NPI 1336503812
-
dba Pediatric Inpatient Services Riverton
- Pediatrics Physician
- Riverton, UT
- NPI 1043671985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1326691569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S 400 E STE 100",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104862",
"telephone_number": "801-397-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "CONNORIE",
"middle_name": "JEANE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112272",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "11868464-1206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326691569",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CMURRAY57986@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.