Theresa Ann Humphrey

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

517 Hammill LN
Reno, NV 89511-1004

Phone

(775) 824-2323

Fax

(775) 824-2324

NPI assigned

Dec 31, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1679112254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-824-2323",
            "fax_number": "775-824-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-824-2323",
            "fax_number": "775-824-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humanova Health LLC
• Yohance Humphery, LCSW
• Linda Jean Humphrey, MD
• Michael John Humphrey, MD
• Ryelynn Humphrey
• Humphreys Marchant Humphreys and Cooper Ods LTD
• Kassi Humphreys
• Kaylie M Humphreys, FNP
• Elise Humphries, CSW-I
• Kerry Humphries

• Dental Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Dental Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.