Richelle Lynn Humphrey
Nurse Anesthetist, Certified Registered in Leitchfield, KY. Individual provider (NPI-1).
NPI number1285960591
StatusActive
Last updated in NPPESNov 6, 2026
Details
- NPI
- 1285960591
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Richelle Lynn Humphrey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2009
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | rn0000158637 | TN | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 28164394A | IN |
Practice location
904 Wallace AveLeitchfield, KY 42754-1418
Phone 270-259-9470
Mailing address
904 Wallace AveLeitchfield, KY 42754-1418
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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