NICOLE ANN HUMPHREY (NPI# 1396020590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396020590 |
| Entity Type | Individual |
| Full Name | NICOLE ANN HUMPHREY |
| Credential | LCSW |
| Practice Address |
10 N Main Street Cortland NY 13045-2130 |
| Practice Telephone | 6077530234 |
| Practice Fax Number | 6077530286 |
| Mailing Telephone | 6077530234 |
| Mailing Fax Number | 6077530286 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 084647 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1336163963 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467704270 | Nicole Humphrey | Specialist | 826 E 46th St, Brooklyn, NY 11203-5750 | 2012-10-04 |
| 1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
| 1518429489 | Nicole Humphrey | Speech-Language Pathologist | 13902 Bromfield Rd, Germantown, MD 20874-2293 | 2019-04-01 |
| 1518432954 | Nicole Rae Humphrey | Nurse Practitioner | 207 5th St, Racine, OH 45771 | 2018-10-12 |
| 1932611522 | Nicole Marie Humphrey | Nurse Practitioner | 3200 Chouteau Ave, Saint Louis, MO 63103-2910 | 2017-11-03 |
| 1386160737 | Nicole Humphrey | Nurse Practitioner | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-08-17 |
| Street Address |
10 N MAIN STREET |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096512 | Andrea Lisa Holmes | Counselor | 10 North Main St, Family Counseling Services, Cortland, NY 13045 | 2006-10-12 |
| 1104465517 | Charlotte Sweeney | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-01-02 |
| 1174162788 | Pamela Lynn Sanders | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-30 |
| 1629617634 | Allysan Loope | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-23 |
| 1265074876 | Alexandra Mikowski | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-10-15 |
| 1215583067 | Ethan Bardell | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-08-16 |
| 1598319501 | Gabrielle Satterly | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-07-29 |
| 1811541931 | Megan Speer | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-07-26 |
| 1912476011 | Jamie Kaye Miller | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2018-11-19 |
| 1861960874 | Timothy C. Wood | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2018-11-07 |
| Find all providers in CORTLAND | ||||
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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.