Murphy T Allen, APRN
Individual provider Active NPI Nurse Practitioner · Sparks, NV
NPI 1770544983 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1770544983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 00502 (NV)
- Practice address
- 2835 Watervale Dr
Sparks, NV 89436-7657 - Phone
- (775) 815-9376
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100319000726 | NV | Practitioner - Nurse Practitioner | 4880729599 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00502 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Nevada PLLC | Current |
Accepting new patients | |
| Advanced Practice Primary Care LLC | Current |
Accepting new patients | |
| Northern Nevada Medical Group, LLC | Nurse Practitioner | Past | Accepting new patients |
| Innerthin LLC | Past | Accepting new patients |
Locations
5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200
4773 Caughlin Pkwy
Reno, NV 89519
Phone (775) 221-7400
Interoperability endpoints
- murphy.allen.1@19079.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 00502 | NV | Yes |
Addresses
Primary practice location
2835 Watervale Dr
Sparks, NV 89436-7657
Mailing address
2835 Watervale Dr
Sparks, NV 89436-7657
Phone (775) 626-6042
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11907848 | Other | CAQH | |
| 1770544983 | Other | NPI |
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.