| 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 | 23 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 |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Smyth County Community Hospital | Marion, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Associates | 4789781048 | 24 |
| 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: Medicare Enrolled Practice Location: 109 Meadow View Rd Ste 3, Bristol, TN 37620 Phone: 423-968-4007 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: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Mrs. Maggie Campbell Gilbert, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1241 Volunteer Pkwy Ste 110, Bristol, TN 37620 Phone: 423-530-3703 | |
Mrs. Jo Anne Roe Viers, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare 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: Accepting Medicare Assignments Practice Location: 271 Medical Park Blvd, Bristol, TN 37620 Phone: 423-274-8600 Fax: 423-390-6845 |