Active NPI
Wendy Mieko Murakami, APRN
- Gerontology Nurse Practitioner
- Manchester, CT
National Provider Identifier
1508024894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 001156
- Practice address
- 375 E Center St
Manchester, CT 06040-4445 - Phone
- (860) 646-0166
- Fax
- (860) 645-7534
- NPI assigned
- May 23, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 001156 | CT | Primary |
| Registered Nurse | 163W00000X | R50878 | CT | |
| Nurse Practitioner | 363L00000X | 184911 | MA | |
| Nurse Practitioner | 363L00000X | 1156 | CT |
Addresses
Primary practice location
375 E Center St
Manchester, CT 06040-4445
Mailing address
49 Hartford Tpke
Vernon, CT 06066-5242
Phone (860) 646-0166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S47357 | Other | UPIN | |
| 00413802 | Medicaid | CT |
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
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| R50878 | CT | MD | Registered Nurse |
| 184911 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MW Wellness VIII, LLC | Past | Accepting new patients | |
| MW Wellness II, LLC | 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.
-
- Family Medicine Physician
- Bristol, CT
- NPI 1558819201
-
- Family Medicine Physician
- Enfield, CT
- NPI 1639695935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1508024894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HARTFORD TPKE",
"city": "VERNON",
"state": "CT",
"postal_code": "060665242",
"telephone_number": "860-646-0166",
"fax_number": "860-645-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404445",
"telephone_number": "860-646-0166",
"fax_number": "860-645-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURAKAMI",
"first_name": "WENDY",
"middle_name": "MIEKO",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "001156",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "R50878",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "184911",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "1156",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "S47357",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00413802",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.