KIMBERLY MCMURRAY (NPI# 1699129148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699129148 |
Entity Type | Individual |
Full Name | KIMBERLY MCMURRAY |
Credential | NP |
Practice Address |
2520 E Dupont Rd Fort Wayne IN 46825-1675 |
Mailing Address |
6435 W Jefferson Blvd Fort Wayne IN 46804-6203 |
Practice Telephone | 2603444035 |
Practice Fax Number | 2609699272 |
Mailing Telephone | 2603444035 |
Mailing Fax Number | 2609699272 |
Enumeration Date | 2016-04-21 |
Last Update Date | 2018-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.020413 | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71006205A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71006205A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0170606 | 05 |
Street Address |
2520 E DUPONT RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-1675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538110556 | Dupont Hospital LLC | General Acute Care Hospital | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2006-05-15 |
1558905364 | Kari Louise Hackley | Nurse Practitioner | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2019-11-05 |
1184138349 | Candace Jo Nicholas | Nurse Practitioner | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-11-27 |
1346752870 | Stacy Rose Masters | Registered Nurse | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-10-24 |
1942724547 | Doug Wesley Brady | Nurse Practitioner | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-07-26 |
1508227042 | Rachel Stephens | Dietitian, Registered | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-03-11 |
1922468651 | Jodi Selking | Dietitian, Registered | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-02-23 |
1770942427 | Rachel Griffin | Registered Nurse | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-02-22 |
1659738185 | Constance Harding | Dietitian, Registered | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-01-28 |
1982912465 | Benjie Chong | Internal Medicine | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2010-09-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508389990 | Healthy Body LLC | Nurse Practitioner | 2515 Ladue Ln, Fort Wayne, IN 46804-2796 | 2017-07-18 |
1336278753 | Nikki J Mann | Nurse Practitioner | 3010 Independence Dr, Fort Wayne, IN 46808-1328 | 2007-03-02 |
1831708965 | Anna N. Kemler | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-24 |
1376189514 | Jasmin Rahman | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-11-22 |
1881160885 | Jenniffer Lee Price | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2018-10-17 |
1639659956 | Jodi Barnett | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2018-08-16 |
1245758622 | Alyssa R. Slabaugh | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-09-06 |
1841713229 | Christopher E. Bowman | Nurse Practitioner | 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 | 2017-07-18 |
1174073373 | Anne G W Harless | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2016-10-12 |
1528516226 | Nicole Blauvelt | Nurse Practitioner | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2016-09-12 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
Please comment or provide details below to improve the information on KIMBERLY MCMURRAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.