CRYSTAL E HUMPHRIES FNP NPI 1700882131

NPI Information

NPI: 1700882131
Provider Name: CRYSTAL E HUMPHRIES, FNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: SPARTANBURG MEDICAL CENTER

PECOS Registration: Yes

Address:
101 E WOOD ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-7050
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Crystal E Humphries, FNP is an adult health nurse practitioner in Spartanburg, SC with 27 years of experience. Crystal E Humphries, FNP NPI is 1700882131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-7050
Fax: (864) 560-0800

The NPI 1700882131 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	73007	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q318733365	OTHER	SOUTH CAROLINA	MEDICARE PIN
2	Q318734746	OTHER	SOUTH CAROLINA	MEDICARE PIN
3	NP0021	MEDICAID	SOUTH CAROLINA
4	7004423	MEDICAID	NORTH CAROLINA
5	P00729159	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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