Individual provider Active NPI

Amanda D. Murphy, P.A.-C

  • Physician Assistant
  • Owensboro, KY
National Provider Identifier
1497754279
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA787 Issued in KY
Practice address
1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104
Phone
(270) 926-8828
Fax
(270) 926-0760
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA787 KY Primary

Addresses

Primary practice location

1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104

Mailing address

169 Partridge Loop
Owensboro, KY 42301
Phone (270) 689-2145

Other identifiers 1

IdentifierTypeStateIssuer
95003572MedicaidKY

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA787KYMDPhysician Assistant
TC513KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Medical Practice, PLLC Physician Assistant Past Accepting new patients
Owensboro Pediatrics LLC Physician Assistant Past Accepting new patients

Organizations & group practices 2

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1497754279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PARTRIDGE LOOP",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-689-2145",
            "fax_number": "270-926-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "STE. 1000",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-8828",
            "fax_number": "270-926-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95003572",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.