Individual provider Active NPI

Collette Kay Murphy

  • Contractor
  • Detroit Lakes, MN
National Provider Identifier
1376864447
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
26-4231828 Issued in MN
Practice address
10302 County Road 147
Detroit Lakes, MN 56501-7057
Phone
(218) 841-8682
Fax
(218) 844-6500
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 26-4231828 MN Primary

Addresses

Primary practice location

10302 County Road 147
Detroit Lakes, MN 56501-7057

Mailing address

10302 County Road 147
Detroit Lakes, MN 56501-7057
Phone (218) 841-8682

Other identifiers 1

IdentifierTypeStateIssuer
1376864447OtherCLEANING AND HOME MAINTENANCE SERVICES

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

State licenses

LicenseStateTypeSpecialty
26-4231828MNMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1376864447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 COUNTY ROAD 147",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017057",
            "telephone_number": "218-841-8682",
            "fax_number": "218-844-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 COUNTY ROAD 147",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017057",
            "telephone_number": "218-841-8682",
            "fax_number": "218-844-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "COLLETTE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MN",
            "license": "26-4231828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEANING AND HOME MAINTENANCE SERVICES",
            "identifier": "1376864447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.