MS. SUSAN L HUMPHREY


Address: 741 Highland Ave, Winston Salem, NC 27101-4206
Phone: 3367162255

MS. SUSAN L HUMPHREY (NPI# 1790750164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790750164
Entity Type Individual
Full Name MS. SUSAN L HUMPHREY
Credential PA
Practice Address 741 Highland Ave
Winston Salem
NC 27101-4206
Mailing Address Po Box 344
Winston Salem
NC 27102-0344
Practice Telephone 3367162255
Mailing Telephone 3367162255
Enumeration Date 2006-02-21
Last Update Date 2011-04-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 101635 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN HUMPHREY

NPI Name Taxonomy Address Enumeration
1235677394 Susan Humphrey Occupational Therapist 182 Lake Ave, Trumbull, CT 06611-1847 2017-02-08
1437766383 Susan Mercy Humphrey Social Worker 500 E Veterans St, Tomah, WI 54660-3105 2020-09-24
1477169175 Susan Lynn Humphrey Registered Nurse 3482 Broadway St, Boulder, CO 80304-1824 2020-09-17
1417456922 Susan Louise Humphrey Behavioral Analyst 106 Calhoun St, Galax, VA 24333-3840 2018-02-09
1356727226 Susan Jan Humphrey Counselor 811 Madison St, Sunrise Services Inc., Everett, WA 98203-4543 2015-08-03
1790840544 Susan J Humphrey Nurse Practitioner 2525 Chicago Avenue South, Childrens Specialty Clinic Nicu Mpls, Minneapolis, MN 55404 2006-12-22

Office Location

Street Address 741 HIGHLAND AVE
City WINSTON SALEM
State NC
Zip Code 27101-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013379593 Monique Marie Rice Social Worker 741 Highland Ave, Winston Salem, NC 27101 2016-03-24
1942661319 Marya Elise Maxwell Social Worker 741 Highland Ave, Forsyth County Dss Ground Floor, Winston Salem, NC 27101-4206 2016-03-14
1912368507 Mary Kathryn Mazzola Social Worker 741 Highland Ave, Winston Salem, NC 27101-4206 2016-03-10
1457695298 John Thacker Counselor 741 Highland Ave, Winston Salem, NC 27101-4206 2012-11-17
1740564616 Lesli Norris Counselor 741 Highland Ave, Winston Salem, NC 27101-4206 2011-10-10
1598053449 Zenobia Bernadette Fennell Counselor 741 Highland Ave, Winston Salem, NC 27101-4206 2011-07-13
1578876835 Joyce Helen Campbell Social Worker 741 Highland Ave, Winston Salem, NC 27101-4206 2010-07-15
1346496700 Aliza Lauren Hekman Physician Assistant 741 Highland Ave, Winston Salem, NC 27101-4206 2008-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003421876 Annie Carolina Mccollum Occupational Therapist 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 2020-09-09
1891321337 Philippe Ayres Personal Emergency Response Attendant 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 2020-03-17
1497385595 Aereil Moore Counselor 655 West 4th St, Winston Salem, NC 27101 2020-01-17
1619519428 Brandi Melissa Decriscio Nurse Practitioner 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 2019-10-14
1316502909 Burke Street Chiropractic, Pllc Chiropractor 1016 Burke St., Winston-salem, NC 27101 2019-05-08
1790349728 Nakia Carter Counselor 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 2019-04-25
1003391251 Hannah Fortwengler Rainey Nurse Anesthetist, Certified Registered Medical Center Blvrd, Winston-salem, NC 27101 2018-10-03
1750875928 Susan Wilhelm Patterson Nurse Practitioner 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 2018-06-20
1194228049 Anjanette Gilley Benjamin Counselor 650 Highland Ave Ste 1000, Winston Salem, NC 27101 2018-03-16
1376054627 Paulisha Da-shawna Mcintyre Social Worker 650 Highland Ave Ste 101, Winston Salem, NC 27101 2017-10-13
Find all providers in zip 27101

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598375032 Anthony Gentile Physician Assistant 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 2020-08-07
1376152074 Meera Shah Physician Assistant 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 2020-07-28
1770118457 Heather Leigh Bissell Physician Assistant 153 Lavender Ln, Winston Salem, NC 27107-6023 2020-03-03
1245899806 Cheryl L Sizer Physician Assistant Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2019-06-07
1235606575 Vincent James Alderete Physician Assistant Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 2018-10-25
1386127538 Frederick Keith Stirewalt Physician Assistant Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 2018-09-13
1164936852 Lindsay Webster Physician Assistant 10479 Nc-109, 107a, Winston Salem, NC 27107 2017-11-17
1518477694 Raul Canchari Ames Physician Assistant 512 Waughtown St, Winston Salem, NC 27127-2236 2017-10-03
1922528611 Devon Adams Physician Assistant 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 2017-06-22
1053862474 Seguin Warwick Beuerlein Physician Assistant 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 2016-10-20
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27101

Improve Information

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Dataset Information

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.

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