Active NPI
Claudia E Humphrey, R.D., L.D., C.D.E.
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1770780249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2001023549
- Practice address
- 3009 N Ballas Rd Ste 216B
Saint Louis, MO 63131-2308 - Phone
- (314) 996-4352
- Fax
- (314) 996-4591
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2001023549 | MO | Primary |
Addresses
Primary practice location
3009 N Ballas Rd Ste 216B
Saint Louis, MO 63131-2308
Mailing address
15454 Long Castle Forest CT
Chesterfield, MO 63017-7447
Phone (636) 532-2953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001023549 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770780249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15454 LONG CASTLE FOREST CT",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630177447",
"telephone_number": "636-532-2953",
"fax_number": "636-532-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 216B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312308",
"telephone_number": "314-996-4352",
"fax_number": "314-996-4591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "CLAUDIA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "R.D., L.D., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2001023549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.