Individual provider Active NPI

Jena Michelle Murphy, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1760935548
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340813 Issued in NY
Practice address
3107 E Genesee St
Syracuse, NY 13224-1646
Phone
(315) 299-5313
Fax
(315) 299-5661
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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 340813 NY Primary

Addresses

Primary practice location

3107 E Genesee St
Syracuse, NY 13224-1646

Mailing address

4900 Broad Road Pob South 2G
Syracuse, NY 13215-2408
Phone (315) 299-5313

Other practice location 1

4900 Broad Rd Ste 2G
Syracuse, NY 13215-2265
Phone (315) 299-5313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skaneateles Spine & Sport, Inc. PastSince Jan 2, 2023 Accepting new patients

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1760935548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BROAD ROAD POB SOUTH 2G",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152408",
            "telephone_number": "315-299-5313",
            "fax_number": "315-299-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241646",
            "telephone_number": "315-299-5313",
            "fax_number": "315-299-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Broad Rd Ste 2G",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132152265",
            "country_code": "US",
            "telephone_number": "315-299-5313",
            "fax_number": "315-299-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JENA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.