NICOLE RAE HUMPHREY (NPI# 1518432954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518432954 |
| Entity Type | Individual |
| Full Name | NICOLE RAE HUMPHREY |
| Other Name | NICOLE RAE ERB |
| Credential | CNP |
| Practice Address |
207 5th St Racine OH 45771 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 7409492683 |
| Practice Fax Number | 7409492462 |
| Mailing Telephone | 6145446155 |
| Mailing Fax Number | 6145446370 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.023733 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 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 |
| 1396020590 | Nicole Ann Humphrey | Counselor | 10 N Main Street, Cortland, NY 13045-2130 | 2011-10-19 |
| Street Address |
207 5TH ST |
| City | RACINE |
| State | OH |
| Zip Code | 45771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952841355 | Morgan Raeann Gordon | Family Medicine | 207 5th St, Racine, OH 45771-5012 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301175 | Emma Lee Roberts | Speech-Language Pathologist | 31398 Bashan Rd, Racine, OH 45771 | 2017-04-21 |
| 1639303647 | Mary E Smith | Licensed Practical Nurse | 30975 Salser Rd, Racine, OH 45771 | 2009-05-05 |
| 1508873431 | Margie J Lawson | Dentist | 106 Tyree Blvd, Racine, OH 45771 | 2006-08-02 |
| 1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
| 1689845505 | Douglas D. Hunter, M.d.llc | Specialist | 207 Fifth Street, Racine, OH 45771 | 2008-03-19 |
| 1740254267 | Melanie A. Weese | Optometrist | 109 N 3rd St, Racine, OH 45771-0880 | 2006-02-13 |
| 1265766695 | Eddena Jo Smith | Registered Nurse | 818 Johns Rd, Racine, OH 45771-8000 | 2009-10-02 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| 1366762825 | Wirt County Health Services Association, Inc | Clinic/Center | 906 Elm St, Racine, OH 45771-8902 | 2010-06-08 |
| 1851536205 | Southern Local School District | Local Education Agency (LEA) | 920 Elm St, Racine, OH 45771-8902 | 2008-12-12 |
| Find all providers in zip 45771 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609412071 | Emily Patzer | Nurse Practitioner | 2505 Iris Ct, Racine, WI 53402-1437 | 2019-11-20 |
| 1134681075 | Margaret Gail Pratt | Nurse Practitioner | 533 River Rd, Racine, WV 25165-9533 | 2019-04-01 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1447687553 | Tara Danielle Nielsen | Nurse Practitioner | 2542 Wynfield Drive, Racine, WI 53406-1897 | 2013-10-03 |
| 1205071743 | Junetta A Maynard | Nurse Practitioner | 51090 Portland Rd, Racine, OH 45771-9706 | 2008-12-12 |
| 1447863378 | Megan K Painter | Nurse Practitioner | 2333 Northwestern Ave, Racine, WI 53404-2520 | 2020-08-29 |
| 1003426354 | Erin Elizabeth Scheffer | Nurse Practitioner | 3 Birchwood Ct, Racine, WI 53402-2601 | 2020-08-02 |
| 1750872438 | Maria Elena Godines | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403 | 2018-05-29 |
| 1679091185 | Laura Ann Kresch | Nurse Practitioner | 4700 21st St, Racine, WI 53406-5031 | 2017-09-05 |
| 1386020410 | Elizabeth Louise Retherford | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-07-30 |
| Find all providers in RACINE | ||||
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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.