Individual provider Active NPI

Mary Hannah Murdock, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1982912713
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015113 Issued in TN
Practice address
8071 Winchester Rd
Memphis, TN 38125-8206
Phone
(901) 756-6056
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000015113 TN Primary

Addresses

Primary practice location

8071 Winchester Rd
Memphis, TN 38125-8206

Mailing address

8071 Winchester Rd
Memphis, TN 38125-8206
Phone (901) 756-6056

Other identifiers 2

IdentifierTypeStateIssuer
P01126913OtherTNRAILROAD MEDICARE
4296254OtherTNBCBS

Other names 1

  • Mary Hannah White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110310000753 TN Practitioner - Nurse Practitioner 2264614361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1803 Union Ave
Suite 2
Memphis, TN 38104-3910
Phone (901) 722-3136

8035 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 758-6035

8071 Winchester Rd
Memphis, TN 38125-8206
Phone (901) 756-6056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Heatlhcare Community Care Associates CurrentSince May 19, 2012 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince May 19, 2012 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

6400 Shelby View Dr
Ste 101
Memphis, TN 38134
Phone (901) 516-1489

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: mmurdock30712@mlh.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1982912713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8071 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258206",
            "telephone_number": "901-756-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258206",
            "telephone_number": "901-756-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "MARY",
        "middle_name": "HANNAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01126913",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4296254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WHITE",
            "middle_name": "HANNAH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.