Martha Joan Humphrey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000015271 Issued in TN

Practice address

804 N Parkway
Jackson, TN 38305-3058

Phone

(731) 423-3020

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Joan P Humphrey Professional name

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881713386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HWY 152",
            "address_2": "P O BOX 72",
            "city": "SPRING CREEK",
            "state": "TN",
            "postal_code": "38378",
            "telephone_number": "731-695-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-423-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MARTHA",
        "middle_name": "JOAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000015271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "HUMPHREY",
            "middle_name": "P",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelvin Hughes, LDC
• Matthew Patrick Hughes, O.D.
• Dennis Alfred Hulm, M.D.
• Carolyn Hulsey, CASE MANAGER
• Human Technology Inc.
• Rachel Humphrey, PT
• Theophilus James Humphreys, MD
• Jordan King Hunderup, FNP-C
• Breana Hunt
• Dwight Hunt, CASE MANAGER

• Licensed Practical Nurse in Jackson, TN
• Providers in Jackson, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.