MS. EBONY BLACKMON HUMPHREY DNP ARNP PMHNP-BC
NPI 1669904108
Nurse Practitioner - Psychiatric/Mental Health in Issaquah, WA

NPI Status: Active since April 03, 2017

Contact Information

23205 SE BLACK NUGGET RD
APT J2
ISSAQUAH, WA
ZIP 98029
Phone: (206) 701-9363

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About EBONY BLACKMON HUMPHREY

This page provides the complete NPI Profile along with additional information for Ebony Blackmon Humphrey, a provider established in Issaquah, Washington with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1669904108 assigned on April 2017. The practitioner's primary taxonomy code is 363LP0808X with license number AP60929540 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1669904108
Provider Name
MS. EBONY BLACKMON HUMPHREY DNP ARNP PMHNP-BC
Gender
Female
Entity Type
Individual
Location Address
23205 SE BLACK NUGGET RD APT J2 ISSAQUAH, WA 98029
Location Phone
(206) 701-9363
Mailing Address
400 NW GILMAN BLVD UNIT 2862 ISSAQUAH, WA 98027
Mailing Phone
(206) 701-9363
Is Sole Proprietor?
Yes
Enumeration Date
04-03-2017
Last Update Date
09-25-2019
Code Navigator

A nurse practitioner (NP) like Ebony Blackmon Humphrey is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP60929540
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN60625891 (WA)
2163WC0400XNursing Service Providers

Registered Nurse
Case Management

RN60625891 (WA)
3163WP0808XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health

RN60625891 (WA)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669904108, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 8 + 0 + 8 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1669904108.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Registered Nurse (Case Management)
23205 SE BLACK NUGGET RD, APT J2
ISSAQUAH, WA 98029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669904108, enumerated as an "individual" on April 03, 2017.

The provider is located at 23205 SE BLACK NUGGET RD APT J2 ISSAQUAH, WA 98029 and the phone number is (206) 701-9363.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.