Shalique Tiffany Murray, LICENSE NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

235736-01 Issued in NY

Practice address

95 John Muir Dr Ste 10095
Amherst, NY 14228-1144

Phone

(800) 543-9399

Fax

(716) 541-2738

NPI assigned

Jun 25, 2021

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1376113092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 JOHN MUIR DR STE 10095",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281144",
            "telephone_number": "800-543-9399",
            "fax_number": "716-541-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JOHN MUIR DR STE 10095",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281144",
            "telephone_number": "800-543-9399",
            "fax_number": "716-541-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SHALIQUE",
        "middle_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "LICENSE NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "235736-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speciose Mujawayezu
• Carol Ann Munschauer, PH.D.
• Dane Edward Munzek, PHARMD
• John Lawrence Murak, RPH
• Lauren Ann Murkin, RN, BSN
• Janet L Muscato, RPA-C
• Gavin Richard Musielak
• Crystal Catherine Muzacz, PTA
• Bennett Myers, M.D.
• Chloe Grace Myers, PHARMD

• Licensed Practical Nurse in Amherst, NY
• Providers in Amherst, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.