Soulcare Medical Consultant LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOULCARE MEDICAL CONSULTANT LLC

Doing business as

Soulcare Med & Wellness

Practice address

235 Portal LN Ste B
Madison, AL 35758-5827

Phone

(256) 772-1766

Fax

(256) 772-1980

NPI assigned

Sep 19, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Princess R Humphrey, MDNPI 1487600946

Title

Owner

Phone

(256) 772-1766

Specialties & licenses 1

Addresses

Other names 1

• Soulcare Med & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Princess Robinson Humphrey, MD

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1487600946
  NPD (past) Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821284209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PORTAL LN STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585827",
            "telephone_number": "256-772-1766",
            "fax_number": "256-772-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORTAL LN STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585827",
            "telephone_number": "256-772-1766",
            "fax_number": "256-772-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULCARE MEDICAL CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-772-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulcare Med & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.