Individual provider Active NPI

Mary Elizabeth Murphy Loomis, NP-C

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1659668408
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000016455 Issued in TN
Practice address
4280 Watermelon Rd Ste 112
Northport, AL 35473-5250
Phone
(205) 750-0030
Fax
(205) 750-0855
NPI assigned
Jun 30, 2011
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 APN0000016455 TN Primary

Addresses

Primary practice location

4280 Watermelon Rd Ste 112
Northport, AL 35473-5250

Mailing address

1011 Highway 76 Ste a
Clarksville, TN 37043-2531
Phone (931) 245-1150

Other identifiers 2

IdentifierTypeStateIssuer
APN0000016455OtherTNTN BOARD OF NURSING
1-113431OtherALALABAMA BOARD OF NURSING

Other names 1

  • Mary Elizabeth Murphy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marybeth.loomis.p1@direct.crd.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20140424002189 AL Practitioner - Nurse Practitioner 1254570096 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000016455TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WV Medical Services PC CurrentSince Aug 15, 2018 Accepting new patients
Family Medicine of Tuscaloosa, LLC Past Accepting new patients

Locations

4280 Watermelon Rd
Ste 112
Northport, AL 35473
Phone (205) 464-4975

100 Towncenter Blvd
Ste 112
Tuscaloosa, AL 35406
Phone (205) 462-3334

Interoperability endpoints

  • Direct secure messaging: marybeth.loomis.p1@direct.crd.nextgenshare.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, 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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1659668408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HIGHWAY 76 STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432531",
            "telephone_number": "931-245-1150",
            "fax_number": "931-245-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 112",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-750-0030",
            "fax_number": "205-750-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "MARY ELIZABETH",
        "middle_name": "MURPHY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF NURSING",
            "identifier": "APN0000016455",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-113431",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marybeth.loomis.p1@direct.crd.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4280 Watermelon Rd Ste 112",
            "city": "Northport",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354735250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MURPHY",
            "middle_name": "ELIZABETH",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.