JUDY HUMPHREYS


Address: 9908 Sr 64, Bradenton, FL 34212-5303
Phone: 9417478600

JUDY HUMPHREYS (NPI# 1003960295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003960295
Entity Type Individual
Full Name JUDY HUMPHREYS
Credential NP
Practice Address 9908 Sr 64
Bradenton
FL 34212-5303
Mailing Address 367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia
PA 19406-3121
Practice Telephone 9417478600
Practice Fax Number 9417495915
Mailing Telephone 7753569393
Mailing Fax Number 7753565590
Enumeration Date 2007-01-23
Last Update Date 2017-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 701927 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9173689 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 198164902 05
TX 198164903 05

Office Location

Street Address 9908 SR 64
City BRADENTON
State FL
Zip Code 34212-5303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659760676 Suncoast Family Medicine Pa Family Medicine 9908 Sr 64, Bradenton, FL 34212-5303 2015-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134789639 Costco Wholesale Corporation Pharmacy 805 Lighthouse Dr., Bradenton, FL 34212 2019-06-17
1255899852 Lisa M Reo Counselor 1052 River Wind Circle, Bradenton, FL 34212 2019-03-04
1255897054 Drexyl Eitniear Massage Therapist 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 2019-02-17
1689012163 Sophia B Moorjani Nurse Practitioner 12809 Kite Drive, Bradenton, FL 34212 2013-06-06
1871789743 Michael Mcconnaghy Massage Therapist 9904 Sr 64 East, Bradenton, FL 34212 2007-09-24
1841388477 Joseph Daniel Oliveira Radiology 6162 9th Ave. Circle Ne, Bradenton, FL 34212 2006-10-10
1831116292 Sheryl V Okuhara Internal Medicine 1854 Rye Road East, Unit E, Bradenton, FL 34212 2006-07-15
1326079625 Kristin Beth Kulju Chiropractor 1850 Rye Rd, Bradenton, FL 34212 2006-07-05
1922063866 Andrzej Kucharski Family Medicine 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 2006-04-20
1033779541 Costco Wholesale Corporation Hearing Aid Equipment 805 Lighthouse Dr., Bradenton, FL 34212 2019-06-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881208494 Abby Elizabeth Crews Nurse Practitioner 7534, Divot Loop, Bradenton, FL 34202 2020-09-01
1568002459 South Florida Injury and Convenient Care Nurse Practitioner 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 2020-01-09
1033758917 Brooke Ariel Talbert Nurse Practitioner 1803 5th St W, Bradenton, FL 34205-8303 2019-12-25
1912550476 Vilma Rodriguez Nurse Practitioner 1200 37th Ave E, Bradenton, FL 34208-4553 2019-07-23
1366008930 Mary Janell Hostetler Nurse Practitioner 11611 Brookside Dr, Bradenton, FL 34211-4525 2019-05-19
1144886177 Jewel Tartt Nurse Practitioner 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 2019-05-15
1336607522 Katrina Onyx Wilson Nurse Practitioner 304 74th Street Ct Nw, Bradenton, FL 34209-2220 2019-03-06
1184193047 Mary Kathleen Dufek Nurse Practitioner 8610 State Road 70 E, Bradenton, FL 34202-3785 2018-11-20
1255840922 Megan Fallon Nurse Practitioner 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 2017-09-26
1639604556 Jodie Lynn Dodge Nurse Practitioner 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 2017-04-28
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Competitor

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City BRADENTON
Zip Code 34212

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Dataset Information

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.

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