Active NPI
Jessica Selu Murdoch, ATC
- Athletic Trainer
- Payson, UT
National Provider Identifier
1952633133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 7562205-4810
- Practice address
- 286 E 950 S
Payson, UT 84651-3314 - Phone
- (801) 380-2191
- NPI assigned
- Feb 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 7562205-4810 | UT | Primary |
Addresses
Primary practice location
286 E 950 S
Payson, UT 84651-3314
Mailing address
286 E 950 S
Payson, UT 84651-3314
Phone (801) 380-2191
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7562205-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1952633133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 E 950 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846513314",
"telephone_number": "801-380-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 E 950 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846513314",
"telephone_number": "801-380-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCH",
"first_name": "JESSICA",
"middle_name": "SELU",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "7562205-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Payson, UT
- Mountainlands Community Health Center, Inc (Mountainlands Pharmacy - Payson)
- Mountainlands Community Health Center, Inc
- Mountainlands Community Health Center, Inc
- Mt Nebo Mental Health
- Dana H Munn, D.O.
- MVH Professional Services LLC
- My USA Health Services LLC
- My USA Medical Supplies LLC
- National Birth Centers, Inc.
- Zitlali Itzel Navarrete
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.