CRYSTAL JANE HUMPHRIES APRN NPI 1962929307

NPI Information

NPI: 1962929307
Provider Name: CRYSTAL JANE HUMPHRIES, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RESURRECTION TREATMENT CLINICS LLC

PECOS Registration: Yes

Address:
101 PROSPEROUS PL STE 300
LEXINGTON, KY
ZIP 40509
Phone: (859) 275-5229
Get Directions

Crystal Jane Humphries, APRN is a family nurse practitioner in Lexington, KY with 7 years of experience. Crystal Jane Humphries, APRN NPI is 1962929307. 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:

101 PROSPEROUS PL STE 300
LEXINGTON, KY
ZIP 40509-836
Phone: (859) 275-5229
Fax: (859) 977-2683

The NPI 1962929307 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 8/25/2017 and was last updated on 6/6/2019.

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	3011675	KENTUCKY	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	000001143675	OTHER		ANTHEM PIN
2	7100519400	MEDICAID	KENTUCKY
3	PDZ000000064864	OTHER		AETNA BETTER HEALTH
4	300009625	MEDICAID	INDIANA
5	9919431	OTHER		AETNA PIN
6	CS1814200203	OTHER		CARESOURCE ID

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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