DALISSE HUMPHREY RN, BSN NPI 1023146362

Registered Nurse in Columbus, OH

About DALISSE HUMPHREY

Dalisse Humphrey is a provider in Columbus, OH. The NPI number assigned to this provider is 1023146362. The practitioner's primary taxonomy code is Registered Nurse (163W00000X). The provider is registered as an individual and their NPI record was last updated 8 years ago.

NPI

1023146362

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name DALISSE HUMPHREY RN, BSN
Provider Location Address2760 AIRPORT DR COLUMBUS, OH 43219 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 340093 DAYTON, OH 45434 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-02-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code163W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRegistered Nurse
TypeNursing Service Providers
License No.RN. 313216
License StateOH
Taxonomy Description(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Business Address

DALISSE HUMPHREY RN, BSN
2760 AIRPORT DR
COLUMBUS, OH
ZIP 43219
Phone: (937) 286-7490

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Mailing Address

DALISSE HUMPHREY RN, BSN
PO BOX 340093
DAYTON, OH
ZIP 45434
Phone:

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2595802MEDICAID (05)OH

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043313273MID OHIO PULMONARY & SLEEP ASSOCIATES, INC.
Organization
Internal Medicine (Pulmonary Disease)2760 AIRPORT DR SUITE 120
COLUMBUS, OH 43219
(614) 586-0668
1073615456MOUNT CARMEL HEALTH SYSTEM
Organization
Clinic/Center (Sleep Disorder Diagnostic)2760 AIRPORT DR SUITE 120
COLUMBUS, OH 43219
(614) 586-0668
1467474973LABONE OF OHIO INC
Organization
Clinical Medical Laboratory2760 AIRPORT DR STE 175
COLUMBUS, OH 43219
(614) 476-7000
1912992694MR. SIVARAMAN SIVASWAMI M.D.
Individual
Internal Medicine (Critical Care Medicine)2760 AIRPORT DR SUITE 120
COLUMBUS, OH 43219
(614) 586-0668
1952687550MS. BRENDA NOHEMI MEDELLIN LPN
Individual
Licensed Practical Nurse2760 AIRPORT DR 130
COLUMBUS, OH 43219
(614) 751-7777
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