Courtney Humphrey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-05862 Issued in NC

Practice address

2046 Creekside Landing Dr
Apex, NC 27502-3982

Phone

(919) 303-4777

NPI assigned

Apr 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1508276544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 CREEKSIDE LANDING DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 CREEKSIDE LANDING DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023982",
            "telephone_number": "919-303-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 Forest Hills Rd W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933300",
            "country_code": "US",
            "telephone_number": "252-991-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056637",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Horan, OT
• Chelsea Meredith Horgan, DPT, CSCS
• Cynthia Horton, SLP
• Kimberley Hosking, D.V.M
• Molly Rebecca Hudson
• Katherine Conlon Hutchinson, PH.D.
• Ashley E Hyde-Smith, OTR/L
• Cassandra Hynus
• Iep Consulting Bcba Inc
• Ingeborg J. de Kok, DDS, Ms, PLLC

• Medical Physician Assistant in Apex, NC
• Providers in Apex, NC by specialty
• Medical Physician Assistant in North Carolina

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