Individual provider Active NPI

Erica Jean Humbert, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1265879563
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9272188 Issued in FL
Practice address
930 Kingsley Ave
Orange Park, FL 32073-4704
Phone
(904) 269-0500
Fax
(904) 269-9805
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9272188 FL Primary

Addresses

Primary practice location

930 Kingsley Ave
Orange Park, FL 32073-4704

Mailing address

568 Millhouse LN
Orange Park, FL 32065-2297
Phone (352) 514-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000591 FL Practitioner - Nurse Practitioner 8921248311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Aug 1, 2014 Accepting new patients
Neurotech Inc PastSince Nov 29, 2004 Accepting new patients
One Med Inc. PastSince Nov 18, 2025 Accepting new patients

Locations

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1265879563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 MILLHOUSE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652297",
            "telephone_number": "352-514-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734704",
            "telephone_number": "904-269-0500",
            "fax_number": "904-269-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBERT",
        "first_name": "ERICA",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9272188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.