Active NPI
Colleen A. Murphy, APRN
- Pediatric Nurse Practitioner
- Omaha, NE
National Provider Identifier
1649332834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 110179
- Practice address
- 4920 S 30TH St
Suite103
Omaha, NE 68107-1590 - Phone
- (402) 734-4110
- Fax
- (402) 991-5642
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 110179 | NE | Primary |
Addresses
Primary practice location
4920 S 30TH St
Suite103
Omaha, NE 68107-1590
Mailing address
4920 S 30TH St
Suite103
Omaha, NE 68107-1590
Phone (402) 734-4110
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068937201 | Medicaid | NE | |
| 47006 | Other | NE | BLUE CROSS BLUE SHIELD |
| 10025902800 | Medicaid | NE | |
| 37407 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 10025902700 | Medicaid | NE | |
| 470548990-13 | Medicaid | NE | |
| 470548990-17 | Medicaid | NE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneworld Community Health Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- colleen.murphy.p1@direct.charlesdrew.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1164735759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1649332834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 S 30TH ST",
"address_2": "SUITE103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071590",
"telephone_number": "402-734-4110",
"fax_number": "402-991-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 S 30TH ST",
"address_2": "SUITE103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071590",
"telephone_number": "402-734-4110",
"fax_number": "402-991-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "COLLEEN",
"middle_name": "A.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NE",
"license": "110179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068937201",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "47006",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025902800",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "37407",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025902700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470548990-13",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470548990-17",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.