Active NPI
Marta Miree Humblet, FNP-C
- Family Nurse Practitioner
- Owen, WI
National Provider Identifier
1174938708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 506794
- Practice address
- 6 Johnson St
Owen, WI 54460-9534 - Phone
- (715) 229-2177
- NPI assigned
- Jun 23, 2014
- Last updated
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 506794 | WI | Primary |
Addresses
Primary practice location
6 Johnson St
Owen, WI 54460-9534
Mailing address
6 Johnson St
Owen, WI 54460-9534
Phone (715) 229-2177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506794 | Other | WI | WISCONSIN APNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 506794 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1174938708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 JOHNSON ST",
"city": "OWEN",
"state": "WI",
"postal_code": "544609534",
"telephone_number": "715-229-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 JOHNSON ST",
"city": "OWEN",
"state": "WI",
"postal_code": "544609534",
"telephone_number": "715-229-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBLET",
"first_name": "MARTA",
"middle_name": "MIREE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "506794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN APNP",
"identifier": "506794",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.