Individual provider Active NPI

Johanna Rachel Murphy, APRN

  • Family Nurse Practitioner
  • Brattleboro, VT
National Provider Identifier
1558809046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0132310 Issued in VT
Practice address
63 Belmont Ave
Brattleboro, VT 05301-6614
Phone
(802) 257-0341
NPI assigned
Feb 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2268640 MA
Family Nurse Practitioner 363LF0000X 101.0132310 VT Primary

Addresses

Primary practice location

63 Belmont Ave
Brattleboro, VT 05301-6614

Mailing address

939 Meadowbrook Road
Brattleboro, VT 05301
Phone (617) 365-9178

Other practice location 1

17 Locust Ter
Apt 3
Cambridge, MA 02138-4573
Phone (617) 365-9178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20170921000330 VT Practitioner - Nurse Practitioner 0446524078 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2268640MAMDRegistered Nurse
101.0132310VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Memorial Hospital CurrentSince Aug 21, 2017 Accepting new patients
Brattleboro Retreat CurrentSince Dec 26, 2023 Accepting new patients
Brattleboro Retreat Past Accepting new patients

Locations

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

21 Belmont Ave
Ste 1
Brattleboro, VT 05301
Phone (802) 251-8455

63 Belmont Ave
Brattleboro, VT 05301
Phone (802) 254-1113

1 Anna Marsh Ln
Dummerston, VT 05301

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558809046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 MEADOWBROOK ROAD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "617-365-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016614",
            "telephone_number": "802-257-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Locust Ter",
            "address_2": "Apt 3",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021384573",
            "country_code": "US",
            "telephone_number": "617-365-9178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JOHANNA",
        "middle_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2268640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0132310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.