Organization Active NPI

Humility Health Services LLC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1124569918
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN16133 Issued in TN
Legal business name
HUMILITY HEALTH SERVICES LLC
Practice address
6716 Brownbark CV
Memphis, TN 38115-4302
Phone
(901) 305-0878
Fax
(901) 370-4725
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Sheretta Dobbins, FNPNPI 1508125360
Title
FNP/Owner
Phone
(901) 305-0878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN16133 TN Primary

Addresses

Primary practice location

6716 Brownbark CV
Memphis, TN 38115-4302

Mailing address

PO Box 750188
Memphis, TN 38175-0188
Phone (901) 305-0878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170802001953 TN Part B Supplier - Clinic/Group Practice 9335410877 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

5100 Poplar Ave
Ste 525
Memphis, TN 38137
Phone (901) 305-0878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1124569918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750188",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381750188",
            "telephone_number": "901-305-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 BROWNBARK CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154302",
            "telephone_number": "901-305-0878",
            "fax_number": "901-370-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMILITY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "SHERETTA",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "901-305-0878",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.