Active NPI
Kimberly Humphrey, FNP-BC
- Family Nurse Practitioner
- Mount Pleasant, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131881
- Practice address
- 2001 N Jefferson Ave Ste 202a
Mount Pleasant, TX 75455-2309 - Phone
- (903) 434-8073
- Fax
- (903) 434-8076
- NPI assigned
- Oct 25, 2016
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | AP131881 | TX | Primary |
Addresses
Primary practice location
2001 N Jefferson Ave Ste 202a
Mount Pleasant, TX 75455-2309
Mailing address
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
Other practice location 1
1317 N Hillcrest Dr
Sulphur Springs, TX 75482-2091
Phone (903) 438-1110
Other practice location 2
630 W South St
Benton, AR 72015-4235
Phone (501) 860-7150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1610 S Jefferson Ave
Mount Pleasant, TX 75455-5614
Phone (903) 577-2273
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
2320 Harts Bluff Rd
Mount Pleasant, TX 75455-7453
Phone (903) 577-2273
801 Texas Hwy 37 S
Suite D
Mount Vernon, TX 75457-6597
Phone (903) 577-2273
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131881 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titus County Hospital District | Current | Accepting new patients | |
| Titus County Hospital District | Current | Accepting new patients | |
| Titus County Hospital District | Past | Accepting new patients | |
| Titus County Hospital District | Past | Accepting new patients |
Locations
250 Mount Pleasant Rd
Bogata, TX 75417
Phone (903) 577-2273
1205 Linda Dr
Daingerfield, TX 75638
1610 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-2273
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
2001 N Jefferson Ave
Ste 202A
Mt Pleasant, TX 75455
Phone (903) 434-8073
203 W 20th St
Ste B
Mt Pleasant, TX 75455
Phone (903) 577-8878
2320 Harts Bluff Rd
Mt Pleasant, TX 75455
Phone (903) 434-7068
801 Texas Highway 37 S
Mt Vernon, TX 75457
Phone (903) 537-4548
Organizations & group practices 5
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.
-
dba Titus Regional Medical Center
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Urology Associates of Titus
- Medical Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1841721016
-
dba Titus Regional Medical Center
- General Acute Care Hospital
- Mount Pleasant, TX
- NPI 1174526529
-
dba Family Care Center Harts Bluff
- Rural Health Clinic/Center
- Mount Pleasant, TX
- NPI 1306989322
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Titus Regional Medical Center
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
dba Titus Regional Medical Center
- General Acute Care Hospital
- Mount Pleasant, TX
- NPI 1174526529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1215489331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552338",
"telephone_number": "903-577-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE STE 202A",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552309",
"telephone_number": "903-434-8073",
"fax_number": "903-434-8076"
}
],
"practiceLocations": [
{
"address_1": "1317 N Hillcrest Dr",
"address_purpose": "LOCATION",
"city": "Sulphur Springs",
"state": "TX",
"postal_code": "754822091",
"country_code": "US",
"telephone_number": "903-438-1110",
"fax_number": "903-438-1107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 W South St",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720154235",
"country_code": "US",
"telephone_number": "501-860-7150",
"fax_number": "501-860-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMPHREY",
"first_name": "KIMBERLY",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP131881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.