Individual provider Active NPI

Tatyanna Farietta Murray, MD

  • Child & Adolescent Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1710994249
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
41339 Issued in AZ
Practice address
6050 N Corona Rd
Suite 3
Tucson, AZ 85704-1096
Phone
(520) 469-8700
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME88138 FL
Child & Adolescent Psychiatry Physician 2084P0804X 41339 AZ Primary

Addresses

Primary practice location

6050 N Corona Rd
Suite 3
Tucson, AZ 85704-1096

Mailing address

6050 N Corona Rd
Suite 3
Tucson, AZ 85704-1096
Phone (520) 469-8700

Other identifiers 1

IdentifierTypeStateIssuer
272236400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000165 AZ Practitioner - Psychiatry 4880635150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME88138FLMDPsychiatry Physician
41339AZMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Behavioral Health Hospital, LLC CurrentSince Feb 16, 2009 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Feb 16, 2009 Accepting new patients
University of Miami Psychiatry Past Accepting new patients

Locations

6050 N Corona Rd
Bldg 3
Tucson, AZ 85704
Phone (520) 469-8700

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8700

Interoperability endpoints

  • Direct secure messaging: tatyana.fariettamurray.p1@direct.lafrontera-empact.nextgenshare.com

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1710994249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 N CORONA RD",
            "address_2": "SUITE 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041096",
            "telephone_number": "520-469-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 N CORONA RD",
            "address_2": "SUITE 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041096",
            "telephone_number": "520-469-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIETTA MURRAY",
        "first_name": "TATYANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME88138",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "41339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272236400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.