Individual provider Active NPI

Carmen Latrice Murray, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1801437629
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209027139 Issued in IL
Practice address
401 Post Office Rd Ste 101
Waldorf, MD 20602-2738
Phone
(240) 539-7929
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209027139 IL Primary
Registered Nurse 163W00000X 041392796 IL

Addresses

Primary practice location

401 Post Office Rd Ste 101
Waldorf, MD 20602-2738

Mailing address

6811 Coolridge Rd
Temple Hills, MD 20748-2705
Phone (240) 539-7929

Other practice location 1

2501 Chatham Rd Ste R
Springfield, IL 62704-4188
Phone (630) 453-1004

Other identifiers 1

IdentifierTypeStateIssuer
1740084185OtherILNPI2

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041392796ILMDRegistered Nurse
209027139ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Latrice Consulting LLC Psychiatric/Mental Health Current Accepting new patients

Locations

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

401 Post Office Rd
Ste 101
Waldorf, MD 20602
Phone (301) 613-1038

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1801437629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 COOLRIDGE RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482705",
            "telephone_number": "240-539-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 POST OFFICE RD STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022738",
            "telephone_number": "240-539-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Chatham Rd Ste R",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044188",
            "country_code": "US",
            "telephone_number": "630-453-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "CARMEN",
        "middle_name": "LATRICE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027139",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041392796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1740084185",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.