Active NPI
Audrey Humphrey, NP
- Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1922461573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024175589
- Practice address
- 10009 Southpoint Pkwy
Fredericksburg, VA 22407-2709 - Phone
- (540) 898-6600
- NPI assigned
- Mar 31, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024175589 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024175589 | VA | |
| Nurse Practitioner | 363L00000X | 0024175589 | VA | Primary |
Addresses
Primary practice location
10009 Southpoint Pkwy
Fredericksburg, VA 22407-2709
Mailing address
7 Brannigan Dr
Stafford, VA 22554-8522
Other practice location 1
7 Brannigan Dr
Stafford, VA 22554-8522
Phone (540) 220-2778
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 |
|---|---|---|---|
| 0024175589 | VA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1922461573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BRANNIGAN DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 SOUTHPOINT PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072709",
"telephone_number": "540-898-6600"
}
],
"practiceLocations": [
{
"address_1": "7 Brannigan Dr",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225548522",
"country_code": "US",
"telephone_number": "540-220-2778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMPHREY",
"first_name": "AUDREY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024175589",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024175589",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024175589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.