Lavern Humphries

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

836362 Issued in TX

Practice address

2016 Harvest Dr
Nolanville, TX 76559-4732

Phone

(254) 931-7140

Fax

(254) 931-7140

NPI assigned

Feb 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lavern Washington Humphries

  • Pediatric Skilled Nursing Facility
  • Temple, TX
  • NPI 1154728590
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1003316068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 HARVEST DR",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594732",
            "telephone_number": "254-931-7140",
            "fax_number": "254-931-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 HARVEST DR",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594732",
            "telephone_number": "254-931-7140",
            "fax_number": "254-931-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "LAVERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "836362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Lynn Dejarnette, LPC, NCC
• Sarah Delozier, LPC
• Joanna Denny, MA, LPC ASSOCIATE
• Grace Abound Home Care Limited
• Elizabeth Harkness
• Edith Carolina Keenly, LPC
• Kayla Kelley, OTR
• Joseph Michael Lansing, LVN
• Legacy Beach Therapies LLC
• Tracy Dorinda Lemley

• Registered Nurse in Nolanville, TX
• Providers in Nolanville, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.