Active NPI
Davein Renee Humphrey, RN, MSN, APN-BC
- Family Nurse Practitioner
- Los Banos, CA
National Provider Identifier
1922387307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20402
- Practice address
- 520 W I St
Los Banos, CA 93635-3419 - Phone
- (209) 826-0591
- NPI assigned
- Aug 16, 2011
- Last updated
- Apr 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20402 | CA | Primary |
Addresses
Primary practice location
520 W I St
Los Banos, CA 93635-3419
Mailing address
520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591
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
- Master of Science - Nursing, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1922387307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353419",
"telephone_number": "209-826-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353419",
"telephone_number": "209-826-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "DAVEIN",
"middle_name": "RENEE",
"credential": "RN, MSN, APN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.