Active NPI
Tracy Ann Murray, C.N.P.
- Family Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1831296094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 05352
- Practice address
- 530 Lytton Ave FL 2
Palo Alto, CA 94301-1541 - Phone
- (415) 663-5584
- Fax
- (844) 640-3975
- NPI assigned
- Sep 20, 2006
- Reactivated
- Feb 19, 2019
- Last updated
- Jun 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 05352 | OH | Primary |
Addresses
Primary practice location
530 Lytton Ave FL 2
Palo Alto, CA 94301-1541
Mailing address
15 Beckley Farm Way
Springboro, OH 45066-7508
Phone (937) 689-5173
Other names 1
- Tracy Ann Thomas
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
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05352 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, Inc. | Past | Accepting new patients | |
| Neurology Diagnostics Inc | Past | Accepting new patients | |
| Osama Al-Samkari M.D. Inc | Past | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1705/brand/1/csg/1/fhir/r4
- tracy.murray.1@17222.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
-
- Neurology Physician
- Dayton, OH
- NPI 1033162318
-
- Clinic/Center
- Dayton, OH
- NPI 1083953103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685750400000",
"number": "1831296094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BECKLEY FARM WAY",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450667508",
"telephone_number": "937-689-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 LYTTON AVE FL 2",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011541",
"telephone_number": "415-663-5584",
"fax_number": "844-640-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2023-06-03",
"certification_date": "2023-06-03",
"deactivation_date": "2019-02-07",
"reactivation_date": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "05352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "THOMAS",
"middle_name": "ANN",
"credential": "C.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.