Javier Murillo

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

110 S Center St
Mount Olive, NC 28365-2124

Phone

(919) 635-3344

Fax

(919) 635-3388

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1730671330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RICHARD DUPREE LN LOT LN2",
            "city": "SEVEN SPRINGS",
            "state": "NC",
            "postal_code": "285787604",
            "telephone_number": "919-750-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S CENTER ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283652124",
            "telephone_number": "919-635-3344",
            "fax_number": "919-635-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 SW Center St, Mount Olive",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "NC",
            "postal_code": "283652124",
            "country_code": "US",
            "telephone_number": "919-635-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanta Motamed, DC
• Mount Olive Physical Therapy LLC
• Mt Olive Family Medicine Center Inc
• Mt. Olive Chiropractic Clinic, P.C.
• Mt. Olive Family Medicine Center
• Catherine F Noonan, LCSW
• Nova Ic, Inc.
• Yajaira Lynn Elizabeth Oneill
• Matthew Parker, M.A., LAT, ATC
• Peggie Rose Parks, PA-C

• Peer Specialist in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.