Individual provider Active NPI

Tina Shook Hammonds, CFTS, CFM

  • Orthotic Fitter
  • Laurinburg, NC
National Provider Identifier
1003110362
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CFTS1167 Issued in DE
Practice address
1028 Atkinson St
Laurinburg, NC 28352-4721
Phone
(910) 276-6061
Fax
(910) 276-6586
NPI assigned
Dec 30, 2010
Last updated
Jan 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CFTS1167 DE Primary
Mastectomy Fitter 224900000X CFM02802 DE

Addresses

Primary practice location

1028 Atkinson St
Laurinburg, NC 28352-4721

Mailing address

1028 Atkinson St
Laurinburg, NC 28352-4721
Phone (910) 276-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CFM02802DEMDMastectomy Fitter
CFTS1167DEMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
T&E Taylor Inc. Past Accepting new patients
T & E Taylor Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1003110362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524721",
            "telephone_number": "910-276-6061",
            "fax_number": "910-276-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524721",
            "telephone_number": "910-276-6061",
            "fax_number": "910-276-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "TINA",
        "middle_name": "SHOOK",
        "credential": "CFTS, CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "DE",
            "license": "CFTS1167",
            "primary": true
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "DE",
            "license": "CFM02802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.