Individual provider Active NPI

Mary Martin Murry, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1518275205
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP06218 Issued in LA
Practice address
314 N Franklin St
Bastrop, LA 71220-3846
Phone
(318) 283-8887
Fax
(318) 281-6339
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN054121-AP06218 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP06218 LA Primary

Addresses

Primary practice location

314 N Franklin St
Bastrop, LA 71220-3846

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other practice location 1

1416 Natchitoches St
West Monroe, LA 71292-3751
Phone (318) 855-8773

Other practice location 2

222 Bell Ln Ste 6
West Monroe, LA 71291-6303
Phone (318) 605-4346

Other names 1

  • Mary Elizabeth Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000522 LA Practitioner - Nurse Practitioner 0840489357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN054121-AP06218LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc. Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
New Way Recovery, LLC PastSince Sep 2, 2021 Accepting new patients

Locations

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

Interoperability endpoints

  • Direct secure messaging: mdorr@rmmc.securechart.com
  • Direct secure messaging: mary.murry.1@11502.direct.athenahealth.com

Organizations & group practices 3

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1518275205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203846",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Natchitoches St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712923751",
            "country_code": "US",
            "telephone_number": "318-855-8773",
            "fax_number": "318-855-8779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Bell Ln Ste 6",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712916303",
            "country_code": "US",
            "telephone_number": "318-605-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRY",
        "first_name": "MARY",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN054121-AP06218",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP06218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MARTIN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.