Donald Merle Humphrey, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1051172 Issued in TX

Practice address

34 Buick St
San Angelo, TX 76901-4730

Phone

(325) 658-5339

Fax

(325) 947-0101

NPI assigned

Jun 16, 2022

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dhumphrey66706@shannonhealth.direct-ci.com

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.

• La Esperanza Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • San Angelo, TX
  • NPI 1770584187
  Medicare reassignment NPD
• La Esperanza Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Angelo, TX
  • NPI 1043489347
  NPD
• La Esperanza Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Angelo, TX
  • NPI 1487424602
  NPD
• Neogen Mental Health and Behavioral Services, PA.

  • Psychiatry Physician
  • Southlake, TX
  • NPI 1104445220
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1992435358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 KIRKWOOD BLVD STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921464",
            "telephone_number": "817-442-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BUICK ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014730",
            "telephone_number": "325-658-5339",
            "fax_number": "325-947-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "DONALD",
        "middle_name": "MERLE",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1051172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Nichole Hughes, PHARM.D.
• Brittney Hughes, LAT
• Ty Hughston, M.D.
• Andrew Hume, M.D.
• Cheryl Jeanine Humphrey, D.C.
• Leslie Hung, RPH
• Geraldine Hunn, LMT
• John D Hunt, M.D.
• Patricia Gailon Huseman, ANP
• Leslie M. Hutchins, MD

• Psychiatric/Mental Health Nurse Practitioner in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.