Active NPI
Mary K McMurry, CNP
- Adult Health Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1508029687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 03611-NP
- Practice address
- 3219 Clifton Ave
Ste 325
Cincinnati, OH 45220-3027 - Phone
- (513) 861-0800
- Fax
- (513) 861-5111
- NPI assigned
- Jul 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 03611-NP | OH | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 3001842 | KY |
Addresses
Primary practice location
3219 Clifton Ave
Ste 325
Cincinnati, OH 45220-3027
Mailing address
4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212-2697
Phone (513) 487-5305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2195539 | Medicaid | OH | |
| 78007333 | Medicaid | KY |
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 Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001842 | KY | MD | Adult Health Nurse Practitioner |
| 03611-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Internal Medicine Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1508029687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD",
"address_2": "STE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122697",
"telephone_number": "513-487-5305",
"fax_number": "513-487-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"address_2": "STE 325",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-861-0800",
"fax_number": "513-861-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURRY",
"first_name": "MARY",
"middle_name": "K",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "03611-NP",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3001842",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2195539",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78007333",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.