Active NPI
June Ann Humphrey, FNP
- Family Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1861469090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 045264
- Practice address
- 1810 NE 79TH CT
Kansas City, MO 64118-1579 - Phone
- (816) 810-3728
- NPI assigned
- Mar 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 045264 | MO | Primary |
Addresses
Primary practice location
1810 NE 79TH CT
Kansas City, MO 64118-1579
Mailing address
1810 NE 79TH CT
Kansas City, MO 64118-1579
Phone (816) 810-3728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424008308 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045264 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1861469090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 NE 79TH CT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641181579",
"telephone_number": "816-810-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 NE 79TH CT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641181579",
"telephone_number": "816-810-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "JUNE ANN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "045264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424008308",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.