Abraham Charles Humphries Jr., LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

199688 Issued in TX

Practice address

33003 Battalion Ave
Fort Hood, TX 76544

Phone

(254) 553-3265

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1437727294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BOXWOOD DR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482734",
            "telephone_number": "254-231-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33003 BATTALION AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "ABRAHAM",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "199688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Hughart, RD, LD, CDE
• Suzanne Doleac Hughes, M.D.
• Jessica Raye Hull, PHARMD, BCPS
• Jeanne Marie Humble, LCSW
• Joyce Carol Humphrey, NP
• Natasha Nicole Hunter, LPN
• April Joy Hurlston, M.D.
• Michael Hurst, DPT
• Mongkhon Iamphatcharawut
• Kyle Iannotti

• Licensed Practical Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.