Individual provider Active NPI

Amy Jo Murdock, RN, MS

  • Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1619081098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R136273-4 Issued in MN
Practice address
255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518
Phone
(651) 292-0616
Fax
(651) 298-1203
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R136273-4 MN Primary

Addresses

Primary practice location

255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518

Mailing address

255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518
Phone (651) 292-0616

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R136273-4MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619081098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SMITH AVE N STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022518",
            "telephone_number": "651-292-0616",
            "fax_number": "651-298-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SMITH AVE N STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022518",
            "telephone_number": "651-292-0616",
            "fax_number": "651-298-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R136273-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.