Individual provider Active NPI

Tabitha Humphrey, APRN, NP-C

  • Family Nurse Practitioner
  • Harrodsburg, KY
National Provider Identifier
1467070623
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014482 Issued in KY
Practice address
483 Cane Run St
Harrodsburg, KY 40330-1269
Phone
(502) 224-8001
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 3014482 KY Primary

Addresses

Primary practice location

483 Cane Run St
Harrodsburg, KY 40330-1269

Mailing address

483 Cane Run St
Harrodsburg, KY 40330-1269
Phone (502) 224-8001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tchumphrey@kcu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20200807001724 KY Practitioner - Nurse Practitioner 2062837040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

610 E Brannon Rd
Nicholasville, KY 40356-6066
Phone (859) 260-5540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 19, 2022 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince May 4, 2021 Accepting new patients
Brock Medical, LLC CurrentSince Jul 17, 2020 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jul 17, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 19, 2022 Accepting new patients

Locations

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

96 Future Dr
Corbin, KY 40701

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

610 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 260-5540

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1467070623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 CANE RUN ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301269",
            "telephone_number": "502-224-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CANE RUN ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301269",
            "telephone_number": "502-224-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "TABITHA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tchumphrey@kcu.edu",
            "affiliation": "N",
            "address_1": "483 Cane Run St",
            "city": "Harrodsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403301269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.