Julia Murdoch Self

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

50163732 Issued in NC

Practice address

128 Medical Park Rd Ste 200
Mooresville, NC 28117-8579

Phone

(704) 696-2085

Fax

(704) 658-9328

NPI assigned

Nov 21, 2007

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• R. David Thomson, MD, LLC

  dba Hamilton Mill Pediatrics

  • Pediatrics Physician
  • Dacula, GA
  • NPI 1417194218
  NPD (past)
• Samantha Ball DO LLC

  dba Ball Pediatrics

  • Pediatrics Physician
  • Dacula, GA
  • NPI 1942938311
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1407037195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEDICAL PARK RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178579",
            "telephone_number": "704-696-2085",
            "fax_number": "704-658-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "JULIA",
        "middle_name": "MURDOCH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "50163732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiona Mikay Scott
• Scripter Enterprises (Senior Helpers Lake Norman)
• Bruce Lawrence Seaton, DO
• Sarah Irene Sedaghat, DPT
• Jamie Seidl, DO
• Amanda Elizabeth Sellers, PMHNP-BC
• Grace Marie Selvaggi, CSW, CMSW, LCSWA
• David Martin Senigla
• Kellie Sexton
• Phyllis Ann Shanklin, LCSW

• Pediatric Nurse Practitioner in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.