Individual provider Active NPI

Katherine Hammond

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1033988647
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027009 Issued in CA
Practice address
1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476
Phone
(818) 246-7115
Fax
(877) 366-1148
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027009 CA Primary
Registered Nurse 163W00000X 95264552 CA

Addresses

Primary practice location

1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476

Mailing address

1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476
Phone (818) 246-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606000851 CA Practitioner - Nurse Practitioner 5799227740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund H. Lew, MD, Inc CurrentSince Apr 23, 2024 Accepting new patients

Locations

1809 Verdugo Blvd
Ste 350
Glendale, CA 91208
Phone (818) 790-8121

1505 Wilson Ter
Ste 250
Glendale, CA 91206
Phone (818) 246-7115

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1033988647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-246-7115",
            "fax_number": "877-366-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-246-7115",
            "fax_number": "877-366-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027009",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95264552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.