Jordan Catherine Humphrey, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1086449 Issued in TX

Practice address

8715 Village Dr Ste 518
San Antonio, TX 78217-5423

Phone

(210) 590-7712

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1639840085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175423",
            "telephone_number": "210-590-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175423",
            "telephone_number": "210-590-7712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084615",
            "country_code": "US",
            "telephone_number": "907-562-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3841 Piper St Ste T100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084674",
            "country_code": "US",
            "telephone_number": "907-561-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JORDAN",
        "middle_name": "CATHERINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AK",
            "license": "178473",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1086449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hummingbird Hospice LLC
• Hummingbird Hospice South LLC
• Hummingbird Hospice West LLC
• Emily Humpal, PT, DPT
• Jamie Humpal, LPC
• McKenzie Beth Humphrey, PA-C
• Shannon Marie Humphrey, APRN, CPNP
• Virginia Potter Humphrey II, DDS
• Agurah Humphreys, MD
• James L Humphreys, MD

• Acute Care Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.