Ms Danielle O Humphreys, FNP | |
235 Medical Park Blvd, Bristol, TN 37620-7455 | |
(423) 246-6777 | |
(423) 246-7766 |
Full Name | Ms Danielle O Humphreys |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 235 Medical Park Blvd, Bristol, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518937069 | NPI | - | NPPES |
4212285 | Other | TN | BCBS |
3700035 | Medicaid | TN | |
010316634 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APN08353 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Smyth County Community Hospital | Marion, VA | Hospital |
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Buchanan General Hospital | Grundy, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastroenterology Associates | 4789781048 | 34 |
Gastroenterology Associates | 4789781048 | 34 |
Entity Name | Gastroenterology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770578270 PECOS PAC ID: 4789781048 Enrollment ID: O20070924000124 |
Mailing Address | Practice Location Address |
---|---|
Ms Danielle O Humphreys, FNP 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660-3847 Ph: (423) 246-6777 | Ms Danielle O Humphreys, FNP 235 Medical Park Blvd, Bristol, TN 37620-7455 Ph: (423) 246-6777 |
Mrs. Kelly Carter Simcox, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Midway Medical Park, Bristol, TN 37620 Phone: 423-844-6515 Fax: 423-652-2590 | |
Mrs. Theresa M Kalb, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620 Phone: 607-351-1793 | |
Kimi Kay Guffey, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130 | |
Laura Ann Eller, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2298 Highway 126, Bristol, TN 37620 Phone: 307-371-1381 | |
Shellie Rose Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130 | |
Mrs. Jo Anne Roe Viers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620 Phone: 423-844-4975 Fax: 423-844-4987 | |
Mikayla B Duncan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Medical Park Blvd, Bristol, TN 37620 Phone: 423-274-8600 Fax: 423-390-6845 |