Active NPI
Noreen Esther Humphrey, ARNP
- Pediatric Nurse Practitioner
- Cedar Rapids, IA
National Provider Identifier
1811141575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C-049689
- Practice address
- 1212 7TH St SE
Cedar Rapids, IA 52401-2602 - Phone
- (319) 558-4260
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | C-049689 | IA | Primary |
Addresses
Primary practice location
1212 7TH St SE
Cedar Rapids, IA 52401-2602
Mailing address
1212 7TH St SE
Cedar Rapids, IA 52401-2602
Phone (319) 558-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52401 | Medicaid | IA |
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 |
|---|---|---|---|
| C-049689 | IA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1811141575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 7TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012602",
"telephone_number": "319-558-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 7TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012602",
"telephone_number": "319-558-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "NOREEN",
"middle_name": "ESTHER",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C-049689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52401",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.