Organization Active NPI

Lavern Washington Humphries

  • Pediatric Skilled Nursing Facility
  • Temple, TX
National Provider Identifier
1154728590
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
836362 Issued in TX
Legal business name
LAVERN WASHINGTON HUMPHRIES
Practice address
8521 Sage Meadow Dr
Temple, TX 76502-5041
Phone
(254) 931-7140
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Lavern Washington Humphries, NURSING LICENSE
Title
Registered Nurse
Phone
(254) 931-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 836362 TX Primary

Addresses

Primary practice location

8521 Sage Meadow Dr
Temple, TX 76502-5041

Mailing address

8521 Sage Meadow Dr
Temple, TX 76502-5041
Phone (254) 931-7140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1154728590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 SAGE MEADOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025041",
            "telephone_number": "254-931-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 SAGE MEADOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025041",
            "telephone_number": "254-931-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVERN WASHINGTON HUMPHRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "LAVERN",
        "authorized_official_middle_name": "WASHINGTON",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "254-931-7140",
        "authorized_official_credential": "NURSING LICENSE"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "836362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.