Individual provider Active NPI

Andy Humes, MD

  • Occupational Medicine Physician
  • Vancouver, WA
National Provider Identifier
1730267220
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
61016694 Issued in WA
Practice address
501 SE 172ND Ave Dept of
Vancouver, WA 98684-9542
Phone
(360) 397-4236
NPI assigned
Nov 1, 2006
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 61016694 WA
Occupational Medicine Physician 2083X0100X 61016694 WA Primary

Addresses

Primary practice location

501 SE 172ND Ave Dept of
Vancouver, WA 98684-9542

Mailing address

19215 SE 34TH St Unit 106-234
Camas, WA 98607-8829
Phone (310) 310-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123001995 WA Practitioner - Physical Medicine and Rehabilitation 8921906066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61016694WAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS Multi-Specialty CurrentSince Jul 8, 2025 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jul 8, 2025 Accepting new patients
The Vancouver Clinic Inc PS Multi-Specialty Current Accepting new patients
Shibu Varughese MD PA Multi-Specialty Past Accepting new patients
Rehabilitation Medicine Associates of Eugene-Springfield PC Multi-Specialty Past Accepting new patients

Locations

501 SE 172nd Ave
Vancouver, WA 98684

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: ahumes1195358@oc.providencedirect.org
  • Direct secure messaging: ahumes27021@tvc-direct.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1730267220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 SE 34TH ST UNIT 106-234",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078829",
            "telephone_number": "310-310-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE 172ND AVE DEPT OF",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849542",
            "telephone_number": "360-397-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMES",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "61016694",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "61016694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.