Kimberly S Humphries, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA736 Issued in KY

Practice address

141 N Eagle Creek Dr Ste 200
Lexington, KY 40509-2538

Phone

(859) 543-1000

Fax

(859) 543-0399

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  VA

  Medicare reassignment Care Compare group NPD
• Central Kentucky Pain Professionals, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Lexington, KY
  • NPI 1750323366
  NPD (past)
• Mark a. Delomas, M.D., P.S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Lexington, KY
  • NPI 1336204676

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1679626840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N. EAGLE CREEK DRIVE, SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-266-2273",
            "fax_number": "859-266-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N EAGLE CREEK DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092538",
            "telephone_number": "859-543-1000",
            "fax_number": "859-543-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA736",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100051870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Humphrey, MSW
• Stephen Howard Humphrey, PHARM. D.
• Natalie G Humphreys, CRNA
• Crystal Jane Humphries, APRN
• Jeri Humphries, PA
• Kristina D. Humphries, MD
• Laurie Lee Humphries, MD
• Roger L Humphries, MD
• Jessica Shea Hundley, CCC-SLP
• Martin Bennett Hundley, LPCA

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.