Ebony Blackmon Humphrey, DNP ARNP PMHNP-BC
Ebony Blackmon Humphrey, DNP ARNP PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Issaquah, WA, registered under NPI 1669904108. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 23205 SE BLACK NUGGET RD APT J2, Issaquah, WA 98029. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AP60929540 | WA | Psychiatric/Mental Health Nurse… primary |
| RN60625891 | WA | Registered Nurse |
| RN60625891 | WA | Case Management Registered Nurse |
| RN60625891 | WA | Psychiatric/Mental Health Registered Nurse |
This provider holds licence AP60929540 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | AP60929540 | WA | primary |
| 163W00000X | Registered Nurse | RN60625891 | WA | |
| 163WC0400X | Case Management Registered Nurse Case Management | RN60625891 | WA | |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse Psychiatric/Mental Health | RN60625891 | WA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1669904108 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 3, 2017 |
| Last updated | Sep 25, 2019 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | DNP ARNP PMHNP-BC |
| Practice address |
23205 SE BLACK NUGGET RD APT J2 Issaquah, WA 98029 (206) 701-9363 |
| Mailing address |
400 NW GILMAN BLVD UNIT 2862 Issaquah, WA 98027 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 6 | 9 | 9 | 0 | 4 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 3 | 9 | 9 | 0 | 8 | 1 | 0 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.