Active NPI
Wren Humphrey
- Hearing Instrument Specialist
- Palatka, FL
National Provider Identifier
1306245048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 310 S Palm Ave
Suite 9
Palatka, FL 32177-4179 - Phone
- (386) 325-2233
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
310 S Palm Ave
Suite 9
Palatka, FL 32177-4179
Mailing address
2510 E Sunset Rd
Unit 5-260
Las Vegas, NV 89120-3511
Phone (702) 798-0113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- https://api.platform.athenahealth.com/20291/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1306245048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 E SUNSET RD",
"address_2": "UNIT 5-260",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203511",
"telephone_number": "702-798-0113",
"fax_number": "866-291-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S PALM AVE",
"address_2": "SUITE 9",
"city": "PALATKA",
"state": "FL",
"postal_code": "321774179",
"telephone_number": "386-325-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "WREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.