SUSAN J HUMPHREY CNNP
NPI 1790840544
Nurse Practitioner - Neonatal, Critical Care in Minneapolis, MN

Active since December 22, 2006
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC NICU MPLS, MINNEAPOLIS, MN 55404(612) 813-6295(612) 813-6949 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan J Humphrey Cnnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J HUMPHREY CNNP (NPI 1790840544) is an individual neonatal, critical care provider in Minneapolis, Minnesota, licensed in Minnesota (R0878944) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1790840544
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameSUSAN J HUMPHREYCredential: CNNP
Location Address2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC NICU MPLSMinneapolis, MN 55404
Mailing Address2910 Centre Pointe Drive, 35121a Childrens Health CareRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310
Fax(612) 813-6949
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1790840544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License Licensed in MN · R0878944
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License R0878944 (MN)

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
2525 CHICAGO AVENUE SOUTH, CHILDREN'S HOSPITALS AND CLINIC OF MINNESOTA
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics)
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics)
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics)
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS
MINNEAPOLIS, MN 55404
Clinical Nurse Specialist
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC PAIN CLINIC MPLS
MINNEAPOLIS, MN 55404
Clinical Nurse Specialist
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC INTEGRATIVE MEDICINE MPLS
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Infectious Diseases)
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC INFECTIOUS DISEASE MPLS
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Hematology-Oncology)
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS
MINNEAPOLIS, MN 55404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790840544, enumerated as an "individual" on December 22, 2006.

The provider is located at 2525 CHICAGO AVENUE SOUTH CHILDRENS SPECIALTY CLINIC NICU MPLS MINNEAPOLIS, MN 55404 and the phone number is (612) 813-6295.

Nurse Practitioner with taxonomy code 363LN0005X and a focus in Neonatal, Critical Care.