Reghan Humphreys, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003120 Issued in VA

Practice address

1 Fort Jackson
Columbia, SC 29207-5000

Phone

(336) 423-3283

NPI assigned

May 1, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1831753250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 9TH ST NE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362651204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORT JACKSON",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075000",
            "telephone_number": "336-423-3283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245413612",
            "country_code": "US",
            "telephone_number": "434-791-5821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "REGHAN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Humenansky, DO
• Albert Humphrey, MD
• Justin Edward Humphrey, DO
• Marissa Alauna Humphrey
• Stephen Harmes Humphrey, M.D.
• Stacey Michelle Humphreys, M.D
• Alyssa Denise Humphries, RN, IBCLC
• Ellen C Humphries, M.D.
• Joseph Humphries
• Madison Humphries

• Athletic Trainer in Columbia, SC
• Providers in Columbia, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.