Humana Insurance Company

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

HUMANA INSURANCE COMPANY

Practice address

1100 Employers Blvd
De Pere, WI 54115-8187

Phone

(502) 580-1000

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

George Renaudin

Title

President, Medicare and Medicaid

Phone

(615) 370-1801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1669250429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EMPLOYERS BLVD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EMPLOYERS BLVD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158187",
            "telephone_number": "502-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA INSURANCE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "RENAUDIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT, MEDICARE AND MEDICAID",
        "authorized_official_telephone_number": "615-370-1801"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Howard, LPC-IT
• Sherri L Hoyman, DO
• Sue Anne Huber, MSW LCSW
• Karl Huebner, D.C.
• Kaelyn E Huebschman, APNP
• Kristina K Hunter, LMFT
• Allie Hurrish
• Paul A Hurst, PA-C
• Marie D. Ibarra Stafford, LPC
• Yussr M Ibrahim, MD

• Preferred Provider Organization in De Pere, WI
• Providers in De Pere, WI by specialty
• Preferred Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.