Individual provider Active NPI

Susan T Murray, RN, CH-C

  • Holistic Clinical Nurse Specialist
  • Rochester, NY
National Provider Identifier
1578398921
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X
License
653308 Issued in NY
Practice address
21 Goodway Dr
Rochester, NY 14623-3029
Phone
(585) 519-8825
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Holistic Clinical Nurse Specialist 364SH1100X 653308 NY Primary

Addresses

Primary practice location

21 Goodway Dr
Rochester, NY 14623-3029

Mailing address

21 Goodway Dr
Rochester, NY 14623-3029
Phone (585) 519-8825

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
653308NYMDHolistic Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1578398921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GOODWAY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233029",
            "telephone_number": "585-519-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GOODWAY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233029",
            "telephone_number": "585-519-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SUSAN",
        "middle_name": "T",
        "credential": "RN, CH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "NY",
            "license": "653308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.