MRS. KATIE MARIE EDWARDS-HUMPAL NP-C NPI 1255880555

NPI Information

NPI: 1255880555
Provider Name: MRS. KATIE MARIE EDWARDS-HUMPAL, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
25 E WASHINGTON ST STE 1601
CHICAGO, IL
ZIP 60602
Phone: (312) 999-7809
Get Directions

MRS. Katie Marie Edwards-humpal, NP-C is a family nurse practitioner in Chicago, IL. MRS. Katie Marie Edwards-humpal, NP-C NPI is 1255880555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 E WASHINGTON ST STE 1601
CHICAGO, IL
ZIP 60602-882
Phone: (312) 999-7809

The NPI 1255880555 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 9/27/2016 and was last updated on 4/19/2023.

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	363LF0000X	Nurse Practitioner	Family	5014632	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	209.018546	ILLINOIS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209.018546	ILLINOIS	No
4	363LF0000X	Nurse Practitioner	Family	209018546	ILLINOIS	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	209.018546	OTHER	ILLINOIS	IL LICENSE NUMBER
2	5014632	OTHER	NORTH CAROLINA	NC NP LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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