Individual provider Active NPI

Krista Marie Murray

  • Speech-Language Pathologist
  • Bismarck, ND
National Provider Identifier
1366777534
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1095 Issued in ND
Practice address
4501 Coleman St
Bismarck, ND 58503-0995
Phone
(701) 751-6336
Fax
(701) 751-6337
NPI assigned
Oct 6, 2009
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1095 ND Primary

Addresses

Primary practice location

4501 Coleman St
Bismarck, ND 58503-0995

Mailing address

4501 Coleman St
Bismarck, ND 58503-0995
Phone (701) 751-6336

Other identifiers 1

IdentifierTypeStateIssuer
55499MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218002491 ND Practitioner - Qualified Speech Language Pathologist 7012232846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Partners, Inc. Speech-Language Pathologist CurrentSince Oct 21, 2014 Accepting new patients
Empowered Kids Pediatric Therapy Speech-Language Pathologist PastSince May 22, 2022 Accepting new patients

Locations

3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1366777534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 COLEMAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030995",
            "telephone_number": "701-751-6336",
            "fax_number": "701-751-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 COLEMAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030995",
            "telephone_number": "701-751-6336",
            "fax_number": "701-751-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55499",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.