MICHAEL R HUMPHREY (NPI# 1306394697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306394697 |
Entity Type | Individual |
Full Name | MICHAEL R HUMPHREY |
Credential | WHNP |
Practice Address |
7321 Balmer St Hill Afb UT 84056-5012 |
Practice Telephone | 8017777028 |
Mailing Telephone | 8017777028 |
Enumeration Date | 2016-09-14 |
Last Update Date | 2019-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP141946 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518528173 | Michael Humphrey | Case Manager/Care Coordinator | 1119 E Fir St, Seattle, WA 98122-5415 | 2019-06-25 |
1326541319 | Michael D. Humphrey | Massage Therapist | 8111 Hixson Pike Ste A, Hixson, TN 37343-1551 | 2018-03-15 |
1174908255 | Michael G Humphrey | Pharmacist | 8939 County Lane 213, Webb City, MO 64870-7202 | 2015-07-30 |
1164526737 | Michael Andrew Humphrey | Physician Assistant | 805 E County Road 466, Lady Lake, FL 32159 | 2006-09-12 |
1538688965 | Michael Humphrey | Counselor | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2017-09-18 |
1154869436 | Michael Humphrey II | Behavior Technician | 3949 N River Rd, Freeland, MI 48623 | 2017-02-07 |
1548612575 | Michael D Humphrey | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2016-07-01 |
1821454117 | Michael Roy Humphrey II | Physical Therapy Assistant | 1438 Sw Main Blvd, Lake City, FL 32025-1106 | 2016-01-03 |
1306103619 | Michael G Humphrey | Physical Therapist | 420 N Il Route 31, Crystal Lake, IL 60012-3711 | 2012-04-12 |
1598833444 | Michael John Humphrey | Anesthesiology | 235 West 6th Street, St Marys Regional Medical Center, Reno, NV 89503-4548 | 2006-11-30 |
Street Address |
7321 BALMER ST |
City | HILL AFB |
State | UT |
Zip Code | 84056-5012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134113657 | Mark Allen Vanzant | Dentist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2005-09-12 |
1134784077 | Isaac Quinn Garrett | Dentist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2019-05-07 |
1811469604 | Michael Burnett | Physician Assistant | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-12-18 |
1164914024 | Lawrence Daniel Merket | Nurse Practitioner | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-06-05 |
1821501354 | Marc Allen Palmer | Psychologist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2017-11-06 |
1649794496 | Roger Morris Pedersen | Pharmacist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2017-08-02 |
1740711209 | Eric Bernhard Williams | Pharmacist | 7321 Balmer St, 75 Mdg - Pharmacy, Hill Afb, UT 84056-5012 | 2017-03-24 |
1114368024 | Erin Elizabeth Reddis | Family Medicine | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2013-07-09 |
1942640875 | Josiah Moulton | Family Medicine | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2013-06-25 |
1053658641 | Broghan Enright | Physician Assistant | 7321 Balmer St, Bldg 570, Hill Afb, UT 84056-5012 | 2013-01-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629639885 | Brian A Silva | Physician Assistant | 7321 Balmer Street Bldg 570, Hill Air Force Base, UT 84056 | 2019-06-27 |
1245767045 | Keith Mele | Pharmacist | 7457 Weiner Street, Hill Air Force Base, UT 84056 | 2017-05-11 |
1235513540 | Joshua David Stumpf | Military Health Care Provider | 570 Balmer Street, Hill Afb, UT 84056 | 2015-07-16 |
1194107912 | Kelly Johnson | Social Worker | 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 | 2015-06-29 |
1831449156 | Curt G Martin | Dentist | 7321 Balmer, 75 Mdg, Hill Afb, UT 84056 | 2012-09-13 |
1811253222 | Tiffany Amber Brakefield | Psychologist | 7309 Balmer St Bldg 545, Hill Afb, UT 84056 | 2012-04-10 |
1982910907 | Peter Shigeki Frandsen | Dentist | 7321 Balmer Street Bldg #570, Hill Afb, 75th Mdg/sgd, Hill Afb, UT 84056 | 2010-08-27 |
1861625436 | Michael David Brewer | Family Medicine | 7321 Balmer Ave, Hill Afb, UT 84056 | 2009-08-31 |
1780838789 | Nisha Ray Baur | Pediatrics | Bldg 569 Hill Afb, Clearfield, UT 84056 | 2008-11-05 |
1629230669 | Elizabeth A. Sherlock | Psychologist | 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 | 2008-07-01 |
Find all providers in zip 84056 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652290 | Angela M Jones | Nurse Practitioner | 7691 S Alida Dr, West Jordan, UT 84084-3889 | 2020-06-04 |
1275185845 | Jennifer Hewlett | Nurse Practitioner | 6775 S Meadow Downs Way, Cottonwood Heights, UT 84121-6073 | 2019-07-12 |
1538635628 | Sarah Sanns | Nurse Practitioner | 1486 E Skyline Dr Ste 201, Ogden, UT 84405-4877 | 2018-10-16 |
1770070260 | Eastern Utah Womens Health LLC | Nurse Practitioner | 77 S 600 E Ste B, Price, UT 84501-3174 | 2018-04-19 |
1720503881 | Jennifer Elaine Lazzara | Nurse Practitioner | 3592 W 9000 S Ste 210, West Jordan, UT 84088-8819 | 2017-08-10 |
1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
1912339078 | Melanie J Ward | Nurse Practitioner | 5063 S Cottonwood St Ste 120, Murray, UT 84107-6772 | 2013-07-31 |
1902112600 | Cecily Light | Nurse Practitioner | 1167 Bryan Ave, Salt Lake City, UT 84105-2507 | 2010-08-19 |
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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.