Kisha Maire Murry

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704360270 Issued in MI

Practice address

12866 Fort St
Southgate, MI 48195-1060

Phone

(734) 720-7920

NPI assigned

Apr 4, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1366383192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-720-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-720-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "KISHA",
        "middle_name": "MAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704360270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munther Alaiwat, M.D. , P.C. (Northline Women's Health Center)
• Shayla Murnane
• Christopher Ivan Murphy
• Debra Murphy
• Rachel Murr, LMSW
• Malek Musheinish
• Maham Mushtaq, PA
• Mushy LLC
• Abdulqadir M Mussani, M.D.
• Henna Mussani, D.O.

• Primary Care Nurse Practitioner in Southgate, MI
• Providers in Southgate, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.