SALLY STEVENS HUMPHREY (NPI# 1609988278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609988278 |
| Entity Type | Individual |
| Full Name | SALLY STEVENS HUMPHREY |
| Credential | APRN |
| Practice Address |
5659 S Rex Rd Memphis TN 38119-3821 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 9017633636 |
| Practice Fax Number | 9012278591 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
10680 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649517384 | Sally L Humphrey | Registered Nurse | 606 W Shiawassee St, Lansing, MI 48933-1032 | 2013-01-15 |
| 1063540813 | Sally Cecil Humphrey | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2007-03-02 |
| Street Address |
5659 S REX RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770556268 | John P Tetzeli | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2006-02-07 |
| 1629331079 | Fariha Salman | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2012-06-20 |
| 1235410739 | Namitha Kishore Bhat | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2011-08-29 |
| 1821315342 | Barbara S Woody | Nurse Practitioner | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2010-04-23 |
| 1740514728 | Cindy Earle | Nurse Practitioner | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2009-09-24 |
| 1518193796 | William Dale Mitchell | Physician Assistant | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2009-06-02 |
| 1801030192 | Shimon M Harary | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2009-04-30 |
| 1679718357 | Benjamin Brian Brannick | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2008-12-09 |
| 1932361979 | Ana Helena De Luca Karabell | Pediatrics | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2008-07-01 |
| 1205974649 | Meris M Whitley | Nurse Practitioner | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1730568650 | Erin Burke | Nurse Practitioner | 262 Danny Thomas Place-mail Stop 260, Memphis, TN 38103 | 2015-05-26 |
| 1427443142 | Jamila Shani Smith-young | Nurse Practitioner | 51 N Dunlap #400, Memphis, TN 38103 | 2015-03-31 |
| 1457788606 | Lindsey Nicole Locke | Nurse Practitioner | 848 Adams Street, Memphis, TN 38103 | 2013-10-02 |
| 1851667992 | Brenda Hill | Nurse Practitioner | 920 Madison Ave, Suite 513, Memphis, TN 38163-2120 | 2012-03-22 |
| 1851378525 | Mindy J Lipson | Nurse Practitioner | 5293 S Angela Rd, Memphis, TN 38120-2203 | 2005-12-23 |
| 1609853381 | Kimberly E Proctor | Nurse Practitioner | 332 N Lauderdale St., Ms 133, Memphis, TN 38105-2794 | 2005-12-23 |
| 1528679651 | Heather Leigh Leland | Nurse Practitioner | 8071 Winchester Rd, Memphis, TN 38125-8206 | 2020-08-12 |
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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.