Individual provider Active NPI

Eva Humbach, FNP

  • Family Nurse Practitioner
  • Orangeburg, NY
National Provider Identifier
1407093966
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330369 Issued in NY
Practice address
470 Western Hwy
Orangeburg, NY 10962-1210
Phone
(845) 848-7917
Fax
(845) 359-7227
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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 F330369 NY Primary

Addresses

Primary practice location

470 Western Hwy
Orangeburg, NY 10962-1210

Mailing address

470 Western Hwy
Orangeburg, NY 10962-1210
Phone (845) 848-7917

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

State licenses

LicenseStateTypeSpecialty
F330369NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1407093966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WESTERN HWY",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621210",
            "telephone_number": "845-848-7917",
            "fax_number": "845-359-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WESTERN HWY",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621210",
            "telephone_number": "845-848-7917",
            "fax_number": "845-359-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBACH",
        "first_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.