Active NPI
Keona Murray
- Nurse's Aide
- Willoughby Hills, OH
National Provider Identifier
1477428696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401890230816
- Practice address
- 28200 Bishop Park Dr Apt E118
Willoughby Hills, OH 44092-2906 - Phone
- (216) 808-0094
- NPI assigned
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401890230816 | OH | Primary |
Addresses
Primary practice location
28200 Bishop Park Dr Apt E118
Willoughby Hills, OH 44092-2906
Mailing address
28200 Bishop Park Dr Apt E118
Willoughby Hills, OH 44092-2906
Phone (216) 808-0094
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401890230816 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1477428696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28200 BISHOP PARK DR APT E118",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440922906",
"telephone_number": "216-808-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28200 BISHOP PARK DR APT E118",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440922906",
"telephone_number": "216-808-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "KEONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401890230816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.