Individual provider Active NPI

Stacey-Jo Murray, APRN

  • Family Nurse Practitioner
  • Oxford, CT
National Provider Identifier
1639172240
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002009 Issued in CT
Practice address
Pro Health Partners
9 Bishop Rd
Oxford, CT 06487
Phone
(203) 521-7543
Fax
(203) 643-2000
NPI assigned
May 27, 2005
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002009 CT Primary

Addresses

Primary practice location

Pro Health Partners
9 Bishop Rd
Oxford, CT 06487

Mailing address

25 Second St
Unit C6
Stamford, CT 06905-2213
Phone (203) 249-5881

Other practice location 1

1 Cellini Pl Ste 102
West Haven, CT 06516-1666
Phone (203) 932-6481

Other identifiers 1

IdentifierTypeStateIssuer
004244886MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stacey-jo.murray@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Outcomes, LLC Past Accepting new patients
Cardiology Associates of Fairfield County PC Past Accepting new patients
Practitioner Support Services LLP Family Past Accepting new patients
NP Care, LLC Past Accepting new patients

Organizations & group practices 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1639172240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SECOND ST",
            "address_2": "UNIT C6",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052213",
            "telephone_number": "203-249-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRO HEALTH PARTNERS",
            "address_2": "9 BISHOP RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "06487",
            "telephone_number": "203-521-7543",
            "fax_number": "203-643-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cellini Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "CT",
            "postal_code": "065161666",
            "country_code": "US",
            "telephone_number": "203-932-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "STACEY-JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004244886",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacey-jo.murray@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Cellini Pl Ste 102",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065161666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.