Active NPI
Deonna Murdock
- Registered Nurse
- Toledo, OH
National Provider Identifier
1649912973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 458026
- Practice address
- 2041 Northridge Dr
Toledo, OH 43611-2958 - Phone
- (567) 698-1385
- NPI assigned
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 458026 | OH | Primary |
Addresses
Primary practice location
2041 Northridge Dr
Toledo, OH 43611-2958
Mailing address
2041 Northridge Dr
Toledo, OH 43611-2958
Phone (567) 698-1385
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 458026 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stat RN Solutions LLC | Registered Nurse | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1649912973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 NORTHRIDGE DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436112958",
"telephone_number": "567-698-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 NORTHRIDGE DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436112958",
"telephone_number": "567-698-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "DEONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "458026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.