Phyllis Ann Hammer, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

37013 Issued in WV

Practice address

1401 E Pearl St
Harrisville, WV 26362-9759

Phone

(304) 643-2957

Fax

(304) 643-2958

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• United Physicians Care Inc

  dba Harrisville Medical Center

  • Family Medicine Physician
  • Harrisville, WV
  • NPI 1386712347
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1033215850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 S PIKE ST",
            "address_2": "STE A",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311043",
            "telephone_number": "304-624-4655",
            "fax_number": "304-624-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E PEARL ST",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263629759",
            "telephone_number": "304-643-2957",
            "fax_number": "304-643-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "37013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105082000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Ginanni Cottrill
• Rosalie Lane Grant
• Angela Kimberly Greathouse
• Jessica Dawn Griffin, RN
• Jacqueline Hall
• Etta Lou Hardman
• Steven Hardman
• Drema Hargrove
• Renee Dawn Harkness, RPH
• Haley Morgan Hartness

• Family Nurse Practitioner in Harrisville, WV
• Providers in Harrisville, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.