Active NPI
Emily Ann Humphrey, FNP-C
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134679
- Practice address
- 1210 W Braker LN
Austin, TX 78758-3801 - Phone
- (512) 978-9300
- NPI assigned
- Sep 25, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134679 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 19207 | TN |
Addresses
Primary practice location
1210 W Braker LN
Austin, TX 78758-3801
Mailing address
1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000
600 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 313-6700
609 Elm Ave
Waco, TX 76704-2516
Phone (254) 313-6900
6500 Imperial Dr
Suite 200
Waco, TX 76712-3977
Phone (254) 313-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19207 | TN | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Community Health Center, Inc. | Current | Accepting new patients | |
| Heart of Texas Community Health Center, Inc | Current | Accepting new patients | |
| Heart of Texas Community Health Center Inc | Current | Accepting new patients | |
| McLennan County Medical Education and Research Foundation | Current | Accepting new patients |
Locations
500 Johnson Dr
McGregor, TX 76657
Phone (254) 313-5200
600 S 25th St
Temple, TX 76504
Phone (254) 771-8200
6500 Imperial Dr
Ste 200
Waco, TX 76712
Phone (253) 313-6600
556 N Loop 340
Waco, TX 76705
Phone (254) 313-5400
110 S 12th St
Waco, TX 76701
Phone (254) 297-7124
1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200
2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100
1226 Washington Ave
Waco, TX 76701
Phone (254) 313-6300
1800 Gurley Ln
Waco, TX 76706
Phone (254) 313-6000
1610 Providence Dr
Waco, TX 76707
Phone (254) 313-4200
600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700
609 Elm Ave
Waco, TX 76704
Phone (254) 313-6900
120 Hillcrest Medical Blvd
Bldg Ii
Waco, TX 76712
Phone (254) 313-6500
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1568191492
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1164409926
-
- Federally Qualified Health Center (FQHC)
- Temple, TX
- NPI 1992685218
-
- Family Medicine Physician
- Waco, TX
- NPI 1689651440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851793459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 W BRAKER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583801",
"telephone_number": "512-978-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W BRAKER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583801",
"telephone_number": "512-978-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134679",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19207",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.