Individual provider Active NPI

Joann M Murray-Schluckebier, CRNP

  • Nurse Practitioner
  • West Conshohocken, PA
National Provider Identifier
1619089133
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
UP003327C Issued in PA
Practice address
300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-1942
Phone
(844) 826-3446
NPI assigned
Aug 31, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X UP003327C PA Primary

Addresses

Primary practice location

300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-1942

Mailing address

300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-1456
Phone (844) 826-3446

Other practice location 1

8200 Henry Ave
Suite G1
Philadelphia, PA 19128-2984
Phone (215) 482-2336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040901000391 PA Practitioner - Nurse Practitioner 9537134630

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: joann.murrayschluckebier.p1@direct.tandigmhealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1619089133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOUR FALLS CORPORATE CENTER, SUITE 260",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281456",
            "telephone_number": "844-826-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOUR FALLS CORPORATE CENTER, SUITE 260",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281942",
            "telephone_number": "844-826-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Henry Ave",
            "address_2": "Suite G1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191282984",
            "country_code": "US",
            "telephone_number": "215-482-2336",
            "fax_number": "215-483-4389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY-SCHLUCKEBIER",
        "first_name": "JOANN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP003327C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.