NPIMap

Individual provider Active NPI

Lindsay Humphrey, NP

  • Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1528527082
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
232212 Issued in NC
Practice address
557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone
(910) 484-8114
Fax
(910) 484-1564
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 232212 NC Primary

Addresses

Primary practice location

557 Sandhurst Dr
Fayetteville, NC 28304-4433

Mailing address

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114

Other practice location 1

810 Wesley Pines Rd
Lumberton, NC 28358-2358
Phone (910) 618-1055

Other practice location 2

5103 Candy Park Rd.
Pembroke, NC 28372
Phone (910) 618-1055

Other practice location 3

300 Medical Pavilion Dr Ste 320
Raeford, NC 28376-0019
Phone (910) 484-8114

Other practice location 4

300 E McKay St Ste D
Elizabethtown, NC 28337-9037
Phone (910) 484-8114

Other practice location 5

100 E Pleasant St
Roseboro, NC 28382-9081
Phone (910) 484-8114

Other identifiers 1

IdentifierTypeStateIssuer
890136VMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425000693 NC Practitioner - Nurse Practitioner 1456693381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Kidney Care PAGroup PAC ID 4587576020, 24 clinicians

Practice addresses (Care Compare)

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as group
Quality
60.8
Promoting interoperability
100
Improvement activities
40
Cost
86.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Kidney Care, PA CurrentSince Apr 1, 2019 Accepting new patients

Locations

300 E McKay St
Ste D
Elizabethtown, NC 28337
Phone (910) 484-4100

557 Sandhurst Dr
Fayetteville, NC 28304

1250 Linkhaw Rd
Lumberton, NC 28358
Phone (910) 348-8760

720 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 738-2421

810 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 618-1055

300 Medical Pavilion Dr
Ste 320
Raeford, NC 28376
Phone (910) 266-9900

100 E Pleasant St
Roseboro, NC 28382
Phone (910) 525-0405

Interoperability endpoints

  • Direct secure messaging: lhumphrey17199@direct.acumenmd.com

Organizations & group practices 1

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1528527082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-1564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Wesley Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582358",
            "country_code": "US",
            "telephone_number": "910-618-1055",
            "fax_number": "910-618-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5103 Candy Park Rd.",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "28372",
            "country_code": "US",
            "telephone_number": "910-618-1055",
            "fax_number": "910-618-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760019",
            "country_code": "US",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E McKay St Ste D",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-1564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Roseboro",
            "state": "NC",
            "postal_code": "283829081",
            "country_code": "US",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-1564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "LINDSAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "232212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890136V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.