Individual provider Active NPI

Shenita Consuela Murray, PMHNP-BC, MSN, CMSRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1649928995
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5019158 Issued in NC
Practice address
5710 Oleander Dr Ste 100
Wilmington, NC 28403-4723
Phone
(910) 612-4551
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 224060 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019158 NC Primary

Addresses

Primary practice location

5710 Oleander Dr Ste 100
Wilmington, NC 28403-4723

Mailing address

2636 US Highway 117 N
Burgaw, NC 28425-3934
Phone (910) 612-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240617003888 NC Practitioner - Nurse Practitioner 5991248072 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
224060NCMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ase LTC LLC CurrentSince Mar 23, 2024 Accepting new patients
Straight Walk Family Services, Inc CurrentSince Apr 11, 2025 Accepting new patients

Locations

505 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 212-5524

5710 Oleander Dr
Ste 100
Wilmington, NC 28403
Phone (888) 600-5147

Interoperability endpoints

  • Direct secure messaging: straightwalkfamilyservices.shenitaconsuelamurray@143676.advancedmd-direct.com

Organizations & group practices 2

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1649928995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 US HIGHWAY 117 N",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284253934",
            "telephone_number": "910-612-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034723",
            "telephone_number": "910-612-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SHENITA",
        "middle_name": "CONSUELA",
        "credential": "PMHNP-BC, MSN, CMSRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "224060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.