Individual provider Active NPI

Kisha Monique Murphy

  • Adult Health Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1841919768
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11071 Issued in CT
Practice address
2200 Whitney Ave Ste 290
Hamden, CT 06518-3695
Phone
(203) 903-8308
Fax
(203) 599-3927
NPI assigned
Aug 24, 2022
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11071 CT Primary
Primary Care Nurse Practitioner 363LP2300X 11071 CT

Addresses

Primary practice location

2200 Whitney Ave Ste 290
Hamden, CT 06518-3695

Mailing address

2 Ledgewood Dr
North Branford, CT 06471-1813
Phone (203) 909-1899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230126002710 CT Practitioner - Nurse Practitioner 2365813581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Initiative Corp.Group PAC ID 1759641038, 11 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Suite 290
Hamden, CT 06518-3695
Phone (203) 903-8308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11071CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Oct 20, 2022 Accepting new patients
Anchor Health Initiative Corp. CurrentSince Apr 25, 2024 Accepting new patients
Anchor Health Initiative Corp. CurrentSince Apr 25, 2024 Accepting new patients
University of Connecticut Health Center Adult Health CurrentSince Oct 20, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

2200 Whitney Ave
Ste 290
Hamden, CT 06518
Phone (203) 407-8080

30 Myano Ln
Ste 16
Stamford, CT 06902
Phone (203) 674-1102

Interoperability endpoints

  • Direct secure messaging: kmurphy477538@direct.ynhh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1841919768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LEDGEWOOD DR",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711813",
            "telephone_number": "203-909-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE STE 290",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183695",
            "telephone_number": "203-903-8308",
            "fax_number": "203-599-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KISHA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "11071",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "11071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.