Jennifer Garvin Humphries, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

65342 Issued in SC

Practice address

400 S Logan St
Gaffney, SC 29341-1609

Phone

(864) 487-2705

NPI assigned

Aug 15, 2017

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

Other names 1

• Jennifer Leigh Humphries Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• State of South Carolina

  • Public Health or Welfare Agency
  • Gaffney, SC
  • NPI 1023191707
  NPD (past)
• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1063938686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PLANTATION DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293405654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411609",
            "telephone_number": "864-487-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "JENNIFER",
        "middle_name": "GARVIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "65342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HUMPHRIES",
            "middle_name": "LEIGH",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angela Howe, LISW
• Krystal N Howze, PHARMD
• John L Hudson III, PT
• Saress Lee Hudson, MA, NCC, LPCA
• Shana Dianne Hulsey, AEMT
• Mary Beth Hyatt, LISW-CP
• Ishfaq H Shah MD
• Robert E Jackson Jr., MD
• Taylin Olivia Jean
• Linda J Jeffries, OT

• Registered Nurse in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.