Individual provider Active NPI

Sally J Murrish, CNP

  • Acute Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1801978531
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP-01904 Issued in OH
Practice address
9500 Euclid Ave
S3-395
Cleveland, OH 44195-0001
Phone
(216) 444-2200
Fax
(216) 636-5401
NPI assigned
Oct 20, 2006
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP-01904 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
S3-395
Cleveland, OH 44195-0001

Mailing address

2196 Morrison Ave
Lakewood, OH 44107-5722
Phone (216) 386-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111109000754 OH Practitioner - Nurse Practitioner 7012180987 Reassigns benefits to 5 organizations
I20181004001418 NY Practitioner - Nurse Practitioner 7012180987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-01904OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
PA Post Acute Services PC CurrentSince Jan 21, 2024 Accepting new patients
Vpa PC CurrentSince May 5, 2018 Accepting new patients
Vpa PC CurrentSince May 5, 2018 Accepting new patients
Cogent Medical Care PC CurrentSince Aug 21, 2018 Accepting new patients
Vpa PC Current Accepting new patients

Locations

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

4040 Embassy Pkwy
Ste 400
Akron, OH 44333
Phone (330) 576-4295

570 N Rocky River Dr
Berea, OH 44017
Phone (440) 243-2122

11100 Euclid Ave
Cleveland Heights, OH 44106

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1801978531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 MORRISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075722",
            "telephone_number": "216-386-0044",
            "fax_number": "216-712-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "S3-395",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200",
            "fax_number": "216-636-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRISH",
        "first_name": "SALLY",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP-01904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.