Organization Active NPI

Deidre Hammon

  • Respite Care
  • Reno, NV
National Provider Identifier
1043670565
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
DEIDRE HAMMON
Practice address
4465 Boca Way SPC 212
Reno, NV 89502-6440
Phone
(775) 544-9338
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Deidre Hammon
Title
HCB Support Staff
Phone
(775) 544-9338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

4465 Boca Way SPC 212
Reno, NV 89502-6440

Mailing address

4465 Boca Way SPC 212
Reno, NV 89502-6440
Phone (775) 544-9338

Other identifiers 1

IdentifierTypeStateIssuer
9005037922MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1043670565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 BOCA WAY SPC 212",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026440",
            "telephone_number": "775-544-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 BOCA WAY SPC 212",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026440",
            "telephone_number": "775-544-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIDRE HAMMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "HAMMON",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_title_or_position": "HCB SUPPORT STAFF",
        "authorized_official_telephone_number": "775-544-9338"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005037922",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.