Jazmin Danielle Humphreys
Pediatrics, Neonatal-Perinatal Medicine in Seattle, WA. Individual provider (NPI-1).
NPI number1669976775
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1669976775
- Entity type
- Individual (NPI-1)
- Name
- Jazmin Danielle Humphreys
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2018
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | OP61529649 | WA | Yes |
| 208000000X | Pediatrics | OP61529649 | WA |
Practice location
1959 Ne Pacific St.Seattle, WA 98195-0001
Phone 206-520-5000
Mailing address
Po Box 50095Seattle, WA 98145-5095
Other practice locations
4800 Sand Point Way Ne # Fa2.113
Seattle, WA 98105-3901
Seattle, WA 98105-3901
Phone 206-987-7340
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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