Active NPI
Shane Patrick Murphy, MS, ATC
- Athletic Trainer
- Greeley, CO
National Provider Identifier
1508423286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000017543
- Practice address
- 1117 11TH Ave Apt 6
Greeley, CO 80631-3800 - Phone
- (262) 325-9284
- NPI assigned
- May 28, 2019
- Last updated
- May 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000017543 | WI | Primary |
Addresses
Primary practice location
1117 11TH Ave Apt 6
Greeley, CO 80631-3800
Mailing address
1117 11TH Ave Apt 6
Greeley, CO 80631-3800
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000017543 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1508423286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 11TH AVE APT 6",
"city": "GREELEY",
"state": "CO",
"postal_code": "806313800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 11TH AVE APT 6",
"city": "GREELEY",
"state": "CO",
"postal_code": "806313800",
"telephone_number": "262-325-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "SHANE",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "2000017543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.