Khrystal Kay Humble, BA

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

157768 Issued in OK

Practice address

508 E Fresno Ave
Ponca City, OK 74601-2817

Phone

(580) 767-9035

Fax

(580) 762-1157

NPI assigned

Dec 10, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humble Chiropractic P.C.

  • Clinic/Center
  • Ponca City, OK
  • NPI 1346492519
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1609207166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E FRESNO AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012817",
            "telephone_number": "580-767-9035",
            "fax_number": "580-762-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E FRESNO AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012817",
            "telephone_number": "580-767-9035",
            "fax_number": "580-762-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "KHRYSTAL",
        "middle_name": "KAY",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "OK",
            "license": "157768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Hudson
• Thomas Malachai Huffman
• Edward Dean Hulbert
• Humble Chiropractic P.C.
• Chris Allen Humble, DC
• Nathan Hunter
• Julie Ann Huster
• Elaine Hutchins, CNA
• Tina Marie Imhoff, PHARM D
• Jennifer Inciarte, M.S

• All providers in Ponca City, OK
• Health Educator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.