Karysa N Humphrey, PNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

382967 Issued in NY

Practice address

75 Genesee St
Auburn, NY 13021-3644

Phone

(315) 255-2255

NPI assigned

May 28, 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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khumphrey@auburnpeds.medentdirect.com
• Direct secure messaging: khumphrey39058@direct.upstate.edu

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.

• Suny Health Science Center at Syracuse

  dba Upstate University Hospital

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1184974529
  Medicare reassignment NPD
• Suny Health Science Center at Syracuse

  dba Upstate Outpatient Pharmacy at Nappi

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  NPD
• Auburn Pediatrics PLLC

  • Pediatrics Physician
  • Auburn, NY
  • NPI 1740384247
  NPD (past)
• Cny Gastroenterology, PLLC

  • Gastroenterology Physician
  • Auburn, NY
  • NPI 1336194265
  NPD (past)
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1730746546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213644",
            "telephone_number": "315-255-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "KARYSA",
        "middle_name": "N",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "382967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Hornbrook
• Jennifer S Horsford, LPN
• Stacy Lynn Hoskins, LMHC
• Misty Hubbell
• Hilary Huggins-Nakashima, SLP
• Kelly Leigh Hurd, MS CCC-A
• Vincent Joseph Iannone, RPH
• Internal Medicine Associates of Auburn
• Muhammad Waqas Iqbal, M.D.
• Chakrapani Irri, M.D.

• Pediatrics Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.