Sheila Humphrey, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

P001592 Issued in AR

Practice address

1120 Mack Rd
Little Rock, AR 72206-5790

Phone

(501) 888-3904

Fax

(501) 888-3904

NPI assigned

Dec 14, 2013

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

State licenses

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

{
    "created_epoch": "1386979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386979200000",
    "number": "1992126189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MACK RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722065790",
            "telephone_number": "501-888-3904",
            "fax_number": "501-888-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MACK RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722065790",
            "telephone_number": "501-888-3904",
            "fax_number": "501-888-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "SHEILA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-14",
        "last_updated": "2013-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "P001592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humble As Ever Treasured Homes
• Susan Carol Humbrecht, M.S., CCC-SLP
• Leslie Jean Humiston, APN
• Betty Lou Humphrey, BA
• Sejames Humphrey, QBHP
• Sarah Lynn Humphries, APN
• Jerome Humter
• David Randal Hundley, MD
• Matthew C. Huneycutt, D.C.
• Harjot Hunjan, MD

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2013; 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.