Lisa Kathryn Humbert, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

407913-1 Issued in NY

Practice address

11631 Salter Colvin Rd
Wolcott, NY 14590-9376

Phone

(315) 594-3100

Fax

(315) 594-6235

NPI assigned

Nov 22, 2011

Last updated

Nov 22, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1922375732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 SALTER COLVIN RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909376",
            "telephone_number": "315-594-3100",
            "fax_number": "315-594-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 SALTER COLVIN RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909376",
            "telephone_number": "315-594-3100",
            "fax_number": "315-594-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBERT",
        "first_name": "LISA",
        "middle_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "407913-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol H. Gerling
• John Peter Goodbody, P.T.
• John William Hale, R.PH.
• Amber Higgins, FNP-BC
• Jill A Hopkins, NP
• Kim M Jablonski, PT
• Christina Keim, LMHC
• April L Kellogg
• Ashley Kennedy
• Brunilda Kolaj, MD

• School Registered Nurse in Wolcott, NY
• Providers in Wolcott, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.