Active NPI
Marla L Murray-Koss, APNP
- Nurse Practitioner
- Onalaska, WI
National Provider Identifier
1891791190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2529
- Practice address
- 1202 County Road PH Ste 100
Onalaska, WI 54650-8440 - Phone
- (608) 781-2225
- Fax
- (608) 781-2495
- NPI assigned
- Jun 22, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2529 | WI | Primary |
Addresses
Primary practice location
1202 County Road PH Ste 100
Onalaska, WI 54650-8440
Mailing address
1202 County Road PH Ste 100
P.O. Box 783
Onalaska, WI 54650-8440
Phone (608) 781-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41255800 | Medicaid | WI |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2529 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1891791190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 COUNTY ROAD PH STE 100",
"address_2": "P.O. BOX 783",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508440",
"telephone_number": "608-781-2225",
"fax_number": "608-781-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 COUNTY ROAD PH STE 100",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508440",
"telephone_number": "608-781-2225",
"fax_number": "608-781-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY-KOSS",
"first_name": "MARLA",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41255800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.