WILLIAM THOMAS HUMPHREY (NPI# 1265923148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265923148 |
| Entity Type | Individual |
| Full Name | WILLIAM THOMAS HUMPHREY |
| Practice Address |
433 W Maple St Viroqua WI 54665-1930 |
| Practice Telephone | 6086069004 |
| Mailing Telephone | 6086069004 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972883908 | William Phillip Humphrey | Pharmacist | 104 Us Highway 31 N, Athens, AL 35611-2143 | 2011-08-22 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1043244684 | William Merritt Humphrey | Radiology | 315 N. Washington Avenue, Suite 103, Cookeville, TN 38501 | 2006-07-10 |
| 1164912218 | William Scott Humphrey | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2018-05-15 |
| 1750710158 | William Humphrey | Speech-Language Pathologist | 7855 Currier Dr, Portage, MI 49002-4314 | 2013-11-06 |
| 1902245467 | William O Humphrey | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2013-06-18 |
| 1083776553 | William C Humphrey | Specialist | 100 Malton St, Ste 6, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1336225879 | William Robert Humphrey | Internal Medicine | 101 Sivley Rd Sw, Huntsville, AL 35801 | 2006-10-27 |
| 1699765693 | William T Humphrey Jr. | Family Medicine | 309 Holly Ln, Mankato, MN 56001-5422 | 2005-10-21 |
| Street Address |
433 W MAPLE ST |
| City | VIROQUA |
| State | WI |
| Zip Code | 54665-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178644 | Sarah Ann Gronemus | Occupational Therapist | 407 South Main Street, Suite 302, Viroqua, WI 54665 | 2019-01-29 |
| 1356836399 | Kali Roesler | Occupational Therapy Assistant | E7404 Cr-bb, Viroqua, WI 54665 | 2018-06-22 |
| 1679082226 | Tri-state Regional Ambulance, Inc. | Non-emergency Medical Transport (VAN) | 110 Brendel Lane, Suite B, Viroqua, WI 54665 | 2017-09-27 |
| 1053867200 | Jerrodf Lee Getter | Physical Therapy Assistant | S4602a Cty Road S, Viroqua, WI 54665 | 2016-08-28 |
| 1023496387 | Katrina M Johnson | Social Worker | 210 Airport Road, Suite 103, Viroqua, WI 54665 | 2015-05-07 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| 1831472083 | Longview Home for Boys | Community/Behavioral Health | E4600 Hwy 56, Viroqua, WI 54665 | 2011-09-23 |
| 1598092793 | Stephen James Groth | Pharmacist | S 5970 County N, Viroqua, WI 54665 | 2009-11-09 |
| 1265606842 | Kathryn Ann Sutton-anderson | Physical Therapist | 507 South Main Street, Viroqua, WI 54665 | 2008-04-15 |
| 1346385754 | Thomas Krieger-fritsch | Chiropractor | 114 Fs Dr Ste A, Viroqua, WI 54665 | 2007-02-21 |
| Find all providers in zip 54665 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477023729 | Subdoc | Peer Specialist | 7275 N Port Washington Rd Apt 314, Milwaukee, WI 53217-3337 | 2018-11-29 |
| 1104338920 | Casey Bobinger | Peer Specialist | 412 E North St Ste A, Waukesha, WI 53188-3720 | 2017-11-02 |
| 1750739033 | Tracey Zwieg | Peer Specialist | 1700 Elder St, Waukesha, WI 53188-3234 | 2016-05-27 |
| 1376990069 | Greta Petersen | Peer Specialist | 412 E North St, Waukesha, WI 53188-3720 | 2016-05-23 |
| 1063055192 | Jerome Allen Larson | Peer Specialist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1902452949 | Tara H Wilhelmi | Peer Specialist | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-08-15 |
| 1295221174 | Peter Joseph Rossmeissl | Peer Specialist | 1320 Mendota St Ste 106, Madison, WI 53714-1096 | 2018-07-03 |
| 1053833707 | Annette Renna Mcknight | Peer Specialist | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2017-07-14 |
| 1215386347 | Susan Schmidt | Peer Specialist | 412 E North St, Suite A, Waukesha, WI 53188-3720 | 2016-06-09 |
| 1902255987 | Steven Splittgerber | Peer Specialist | 412 E North St, Suite A, Waukesha, WI 53188-3720 | 2016-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.