NA Keylia Humphrey

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7901 NE 10TH St Ste A106
Midwest City, OK 73110-3600

Phone

(405) 881-5260

Fax

(888) 875-1829

NPI assigned

Mar 17, 2020

Last updated

Mar 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1356977789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 E MADISON ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731113336",
            "telephone_number": "405-881-5260",
            "fax_number": "888-875-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST STE A106",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "405-881-5260",
            "fax_number": "888-875-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "NA KEYLIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.unifieddimensions@gmail.com",
            "affiliation": "N",
            "address_1": "7901 NE 10th St Ste A106",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731103600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawn Alexandria Hufford Harrison, DPT
• Lou Ann Hughes, DPH
• Didi Hui
• Human Performance Center 6 PC
• Courtney M Humphrey, BA
• Jordan Hunt
• Kristen Huntley
• IHS Acquisition No 127 Inc (Midwest City Nursing Center)
• IHS Acquisition No 168 Inc (Specialty Hospital of Midwest City)
• Sonia L Ilang Ilang

• Case Manager/Care Coordinator in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.