Kathleen E Humphries, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6305 Issued in TX

Practice address

820 S. Carrier Pwky.
Grand Prairie, TX 75051-1517

Phone

(972) 262-1425

Fax

(972) 262-4973

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Medhealth

  dba Methodist Medical Group

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1558762690
  NPD
• Medhealth

  dba Methodist Medical Group

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912957200
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1639135734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S. CARRIER PWKY.",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511517",
            "telephone_number": "972-262-1425",
            "fax_number": "972-262-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S. CARRIER PWKY.",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511517",
            "telephone_number": "972-262-1425",
            "fax_number": "972-262-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047814105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emery C. Huber, O.D
• Mary Ann Hudgins, LPC-S
• Rhonda Hampton Hudson, MSN, RN
• April Georgia Huerta, RDH
• Humble Care Home Health Agency Inc
• Breaynna Hunt
• Angela Hunter
• Finesse Hunter
• Landon Ray Hurd
• Heather Lynnae Hurt, SLPA

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.