Individual provider Active NPI

Tasha L Humphreys, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Exeter, NH
National Provider Identifier
1851717953
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021099543 Issued in NH
Practice address
9 Hampton Rd Unit 2
Exeter, NH 03833-4807
Phone
(978) 225-0835
Fax
(603) 772-6761
NPI assigned
Mar 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 061014-21 NH
Nurse Practitioner 363L00000X 061014-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021099543 NH Primary

Addresses

Primary practice location

9 Hampton Rd Unit 2
Exeter, NH 03833-4807

Mailing address

9 Hampton Rd Unit 2
Exeter, NH 03833-4807
Phone (978) 225-0835

Other identifiers 1

IdentifierTypeStateIssuer
3095969MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730001087 NH Practitioner - Nurse Practitioner 2668698564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

83 Lafayette Rd
Unit 47B
Hampton Falls, NH 03844-2303
Phone (603) 945-9825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
061014-21NHMDRegistered Nurse
2021099543NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Surgical Center, LLC CurrentSince Sep 1, 2022 Accepting new patients
Ebbtide Behavioral Health Associates PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Community Physicians PC PastSince Aug 23, 2017 Accepting new patients

Locations

944 Calef Hwy
Barrington, NH 03825
Phone 6036640100118

9 Hampton Rd
Unit 2
Exeter, NH 03833
Phone (603) 778-0505

83 Lafayette Rd
Unit 47B
Hampton Falls, NH 03844
Phone (603) 945-9825

270 Lafayette Rd
Rye, NH 03870
Phone (603) 319-1581

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1851717953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HAMPTON RD UNIT 2",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334807",
            "telephone_number": "978-225-0835",
            "fax_number": "603-772-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAMPTON RD UNIT 2",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334807",
            "telephone_number": "978-225-0835",
            "fax_number": "603-772-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "TASHA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "061014-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "061014-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "2021099543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095969",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.