Renee Humphries, ITDS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

140 N Orlando Ave Ste 280
Winter Park, FL 32789-3639

Phone

(407) 539-2336

Fax

(407) 644-7967

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dakota Sheba LLC

  • Developmentally Disabled Services Day Training Agency
  • Winter Park, FL
  • NPI 1699806190
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1972763449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 PARK CENTRAL DR",
            "address_2": "1513",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328395391",
            "telephone_number": "407-493-9438",
            "fax_number": "407-644-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N ORLANDO AVE STE 280",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893639",
            "telephone_number": "407-539-2336",
            "fax_number": "407-644-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "RENEE",
        "credential": "ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Hull, D C
• Emily Hultin
• Human Services Associates, Inc
• Lucine Humes, PA-C
• Larissa K Humiston, MSW, LCSW
• Gulnora Hundley, PHD
• James Roderick Hundley, M.D.
• Namita Hunjen, PA-C
• Tanya Leigh Hunt, A.R.N.P
• Elizabeth T Hunter, MD,PA

• Developmental Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.