JUDY HUMPHREYS (NPI# 1003960295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 198164902 | 05 | |
TX | 198164903 | 05 |
Street Address |
9908 SR 64 |
City | BRADENTON |
State | FL |
Zip Code | 34212-5303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659760676 | Suncoast Family Medicine Pa | Family Medicine | 9908 Sr 64, Bradenton, FL 34212-5303 | 2015-01-14 |
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 |
Find all providers in zip 34212 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in BRADENTON |
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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.