Active NPI
Cheryl Lyn Murray, PA-C
- Physician Assistant
- Farmington, CT
National Provider Identifier
1891726980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001866
- Practice address
- 130 Birdseye Rd
Farmington, CT 06032-2444 - Phone
- (860) 840-7300
- Fax
- (860) 840-7300
- NPI assigned
- Jul 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | 001866 | CT | Primary |
Addresses
Primary practice location
130 Birdseye Rd
Farmington, CT 06032-2444
Mailing address
130 Birdseye Rd
Farmington, CT 06032-2444
Phone (860) 840-7300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001866 | Other | CT | LICENSE |
| C5-0000401 | Other | DE | LICENSE |
Other names 1
- Cheryl Lyn Heintzelman
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001866 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Physician Assistant | Past | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients | |
| Connecticut Hand and Orthopedics PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hartford, CT
- NPI 1235642158
-
- Obstetrics & Gynecology Physician
- Newark, DE
- NPI 1376528729
Physician Assistant
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1891726980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BIRDSEYE RD",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322444",
"telephone_number": "860-840-7300",
"fax_number": "860-840-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BIRDSEYE RD",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322444",
"telephone_number": "860-840-7300",
"fax_number": "860-840-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "CHERYL",
"middle_name": "LYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "001866",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C5-0000401",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "HEINTZELMAN",
"middle_name": "LYN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.