Active NPI
Katherine G. Humphrey, LLC
- Family Nurse Practitioner
- Severna Park, MD
National Provider Identifier
1649095571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- KATHERINE G. HUMPHREY, LLC
- Practice address
- 517 Benfield Rd Ste 100
Severna Park, MD 21146-2527 - Phone
- (410) 929-2166
- NPI assigned
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine G Humphrey, DNP
- Title
- Founder, Nurse Practitioner
- Phone
- (410) 929-2166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
517 Benfield Rd Ste 100
Severna Park, MD 21146-2527
Mailing address
1405 Point St Apt 1706
Baltimore, MD 21231-3695
Other practice location 1
1404 S Main Chapel Way Ste 104
Gambrills, MD 21054-1860
Phone (410) 929-2166
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gambrills, MD
- NPI 1649010711
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1649095571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 POINT ST APT 1706",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 BENFIELD RD STE 100",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462527",
"telephone_number": "410-929-2166"
}
],
"practiceLocations": [
{
"address_1": "1404 S Main Chapel Way Ste 104",
"address_purpose": "LOCATION",
"city": "Gambrills",
"state": "MD",
"postal_code": "210541860",
"country_code": "US",
"telephone_number": "410-929-2166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KATHERINE G. HUMPHREY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "HUMPHREY",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "FOUNDER, NURSE PRACTITIONER",
"authorized_official_telephone_number": "410-929-2166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.