Heather Humphrey, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

218964 Issued in AR

Practice address

2713 SE I St Ste 7
Bentonville, AR 72712-0078

Phone

(479) 391-8186

Fax

(479) 336-6459

NPI assigned

Feb 24, 2022

Last updated

Jun 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Humphrey Health Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bentonville, AR
  • NPI 1750089033
  Medicare reassignment NPD Authorized official
• Coco Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
  • NPI 1326647918
  NPD (past)
• Crucible LLC

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1992560155
  NPD (past)
• Susan L Shackelford, PHD & Associates, PA

  dba Psychology & Counseling Associates

  • Clinical Psychologist
  • Fayetteville, AR
  • NPI 1205976099
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1366198798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 SE I ST STE 7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727120078",
            "telephone_number": "479-391-8186",
            "fax_number": "479-336-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 SE I ST STE 7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727120078",
            "telephone_number": "479-391-8186",
            "fax_number": "479-336-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "218964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Hughes
• Kendra Hughes, M.S., LPC, LMFT
• Chavela Hughey
• Donishia Hughley, MHPP/TEACHER
• Humphrey Health Services, PLLC
• Humphreys Counseling
• James Brandon Humphreys, L.P.C.
• Haley Hungerford
• Chase Michael Hunter
• Hurst Eye Care Center, PA.

• Psychiatric/Mental Health Nurse Practitioner in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.