Individual provider Active NPI

Ashley Gordon Humphreys, NP

  • Acute Care Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1700313210
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP133919 Issued in TX
Practice address
3070 College St Ste 202
Beaumont, TX 77701-4688
Phone
(409) 832-6200
Fax
(409) 832-6216
NPI assigned
May 15, 2017
Last updated
May 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP133919 TX Primary

Addresses

Primary practice location

3070 College St Ste 202
Beaumont, TX 77701-4688

Mailing address

3070 College St Ste 202
Beaumont, TX 77701-4688
Phone (409) 832-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170727003372 TX Practitioner - Nurse Practitioner 3870863509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Jun 1, 2021 Accepting new patients
Jefferson Physician Services, PLLC CurrentSince Dec 8, 2025 Accepting new patients
Broussard Family Practice, PLLC Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3070 College St
Ste 202
Beaumont, TX 77701
Phone (409) 212-1533

310 N 11th St
Beaumont, TX 77702
Phone (409) 212-5510

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1700313210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 202",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-832-6200",
            "fax_number": "409-832-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 202",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-832-6200",
            "fax_number": "409-832-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "ASHLEY",
        "middle_name": "GORDON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP133919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.