Individual provider Active NPI

Courtney Murphy, RNC, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1386988665
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17041 Issued in TN
Practice address
408 N State of Franklin Rd Ste 31E
Johnson City, TN 37604-6088
Phone
(423) 431-4946
Fax
(423) 431-4947
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170501 VA
Family Nurse Practitioner 363LF0000X 17041 TN Primary

Addresses

Primary practice location

408 N State of Franklin Rd Ste 31E
Johnson City, TN 37604-6088

Mailing address

408 N State of Franklin Rd
Suite 31E
Johnson City, TN 37604
Phone (423) 431-4946

Other practice location 1

2204 Pavilion Dr
Kingsport, TN 37660-4657
Phone (423) 392-6100

Other identifiers 1

IdentifierTypeStateIssuer
10350I3993OtherTNMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000401 TN Practitioner - Nurse Practitioner 2365695038 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17041TNMDFamily Medicine Physician
0024170501VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2017 Accepting new patients
Gastrointestinal Associates of Northeast Tennessee, PC CurrentSince May 12, 2014 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

408 N State of Franklin Rd
Ste 31E
Johnson City, TN 37604
Phone (423) 431-4946

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386988665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 31E",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-431-4946",
            "fax_number": "423-431-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N STATE OF FRANKLIN RD STE 31E",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046088",
            "telephone_number": "423-431-4946",
            "fax_number": "423-431-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604657",
            "country_code": "US",
            "telephone_number": "423-392-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "RNC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "10350I3993",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.