Individual provider Active NPI

Nicole A Murrey, M.S.

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1346482049
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3623 Issued in FL
Practice address
5811 Atlantic Blvd
#17
Jacksonville, FL 32207-2214
Phone
(904) 304-9465
Fax
(904) 304-9465
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-07-3623 FL Primary

Addresses

Primary practice location

5811 Atlantic Blvd
#17
Jacksonville, FL 32207-2214

Mailing address

5811 Atlantic Blvd Unit 17
Jacksonville, FL 32207-2258
Phone (904) 304-9465

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
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1346482049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 ATLANTIC BLVD UNIT 17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072258",
            "telephone_number": "904-304-9465",
            "fax_number": "904-304-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 ATLANTIC BLVD",
            "address_2": "#17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072214",
            "telephone_number": "904-304-9465",
            "fax_number": "904-304-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURREY",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-07-3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.