Individual provider Active NPI

Laura Lea Murphy, FNP-BC

  • Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1679976930
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.011763 Issued in IL
Practice address
1200 W Loucks Ave
Peoria, IL 61604-2604
Phone
(309) 688-4484
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.011763 IL Primary

Addresses

Primary practice location

1200 W Loucks Ave
Peoria, IL 61604-2604

Mailing address

124 Northshore Dr
Morton, IL 61550-1134
Phone (309) 453-6993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150406000224 IL Practitioner - Nurse Practitioner 1557689478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kramer Chiropractic and Accupuncture Center LLCGroup PAC ID 3274590187, 3 clinicians

Practice addresses (Care Compare)

2208 W Willow Knolls Dr
Peoria, IL 61614-1467
Phone (309) 693-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.011763ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer Chiropractic and Accupuncture Center LLC CurrentSince Nov 4, 2015 Accepting new patients

Locations

2208 W Willow Knolls Dr
Peoria, IL 61614
Phone (309) 693-9600

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1679976930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NORTHSHORE DR",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501134",
            "telephone_number": "309-453-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W LOUCKS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042604",
            "telephone_number": "309-688-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.011763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.