Active NPI
Pamela Tanner-Muray, R.N.
- Perinatal Registered Nurse
- Moab, UT
National Provider Identifier
1396941506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Registered Nurse
- License
- 193595-3102
- Practice address
- 471 S Main St Ste 4
Moab, UT 84532-2980 - Phone
- (435) 259-5602
- NPI assigned
- Jun 25, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perinatal Registered Nurse | 163WP1700X | 193595-3102 | UT | Primary |
Addresses
Primary practice location
471 S Main St Ste 4
Moab, UT 84532-2980
Mailing address
PO Box E
Moab, UT 84532-1127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13156 | Medicaid | UT |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193595-3102 | UT | MD | Perinatal Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396941506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX E",
"city": "MOAB",
"state": "UT",
"postal_code": "845321127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 S MAIN ST STE 4",
"city": "MOAB",
"state": "UT",
"postal_code": "845322980",
"telephone_number": "435-259-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER-MURAY",
"first_name": "PAMELA",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "UT",
"license": "193595-3102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13156",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.