JAN S HUMPHREYS (NPI# 1063555027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063555027 |
| Entity Type | Individual |
| Full Name | JAN S HUMPHREYS |
| Credential | ARNP-C |
| Practice Address |
630 Pasadena Ave S St Petersburg FL 33707-2128 |
| Practice Telephone | 7273457100 |
| Practice Fax Number | 7273457100 |
| Mailing Telephone | 7273457100 |
| Mailing Fax Number | 7273457100 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP 1163832 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 PASADENA AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33707-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033219316 | Helen Featherston | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2006-09-25 |
| 1780080945 | Diagnostic Clinic Medical Group Inc. | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-11-14 |
| 1295131993 | Samir Klapuh | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-11-07 |
| 1932521127 | Jessica Lee Scott | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-01-08 |
| 1730449604 | Joseph Warren Verge | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2012-05-24 |
| 1639404601 | Jane L Williams | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2009-10-08 |
| 1407989403 | Meredith Dykes | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-03-13 |
| 1821131962 | John Vincent Murray | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-15 |
| 1356482095 | Pasadena Family Medical Associates | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-08 |
| 1902946627 | Thomas E Esposito | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644677 | Marie Helen Dailey | Nurse Practitioner | 10601 Gandy Blvd N Apt 2220, St Petersburg, FL 33702-1484 | 2019-05-16 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1801285051 | Ronsha Brown | Nurse Practitioner | 3551 42nd Ave S Ste B107, St Petersburg, FL 33711-4369 | 2015-01-12 |
| 1053718395 | Laurel Elizabeth Dimaggio | Nurse Practitioner | 3040 2nd Ave N, St Petersburg, FL 33713-8615 | 2014-12-02 |
| 1558790949 | Kristine Marie Sferra | Nurse Practitioner | 6325 23rd Ln N, St Petersburg, FL 33702-5624 | 2013-11-05 |
| 1770927485 | Charlotte Deolaso | Nurse Practitioner | 859 37th Ave Ne, St Petersburg, FL 33704-1621 | 2013-04-24 |
| 1023274727 | Kimberly Snyder Ristau | Nurse Practitioner | 5767 49th St N Ste A, St Petersburg, FL 33709-2106 | 2008-08-01 |
| 1811152366 | Sago Superior Management Inc | Nurse Practitioner | 3040 36th Ave S, St Petersburg, FL 33712-3731 | 2008-07-24 |
| 1841498623 | Sandra Marie Racine | Nurse Practitioner | 6499 38th Ave N Ste G1, St Petersburg, FL 33710-1658 | 2007-07-03 |
| 1013968189 | Brenda Dunlap | Nurse Practitioner | 900 49th St N, St Petersburg, FL 33710-6625 | 2006-05-13 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33707 |
Please comment or provide details below to improve the information on JAN S HUMPHREYS.
| 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.