Active NPI
Stacy Murillo, FNP-BC
- Family Nurse Practitioner
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP146166
- Practice address
- 3400 I-30 Frontage Rd #180
Mesquite, TX 75150 - Phone
- (214) 382-2925
- NPI assigned
- Feb 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23857 | TN | |
| Family Nurse Practitioner | 363LF0000X | AP146166 | TX | Primary |
Addresses
Primary practice location
3400 I-30 Frontage Rd #180
Mesquite, TX 75150
Mailing address
2521 Greenway St
Arlington, TX 76010-7720
Phone (682) 597-0333
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23857 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Morningstar Anesthesia Professionals | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Past | Accepting new patients |
Locations
301 21st Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-5144
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
301 21st Ave N
Nashville, TN 37203
Phone (615) 329-5144
3400 Interstate 30
#180
Mesquite, TX 75150
Phone (214) 382-2925
Organizations & group practices 3
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.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Anesthesiology Physician
- Lancaster, TX
- NPI 1639824246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1437650892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 GREENWAY ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760107720",
"telephone_number": "682-597-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 I-30 FRONTAGE RD #180",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75150",
"telephone_number": "214-382-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURILLO",
"first_name": "STACY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2021-02-04",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "23857",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP146166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.