Active NPI
Kaitlyn Hammock, DPM
- Foot & Ankle Surgery Podiatrist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 4463
- Practice address
- 6549 N Wickham Rd Ste 103
Melbourne, FL 32940-2041 - Phone
- (708) 969-3924
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 4463 | FL | Primary |
Addresses
Primary practice location
6549 N Wickham Rd Ste 103
Melbourne, FL 32940-2041
Mailing address
6549 N Wickham Rd Ste 103
Melbourne, FL 32940-2041
Phone (708) 969-3924
Other practice location 1
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
260 Fortenberry Rd
Merritt Island, FL 32952-3619
Phone (321) 454-6333
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 120 |
| Removal of skin lesions | 61 |
| Removal of nail tissue | 137 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4463 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merritt Island Foot & Ankle Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Kevin M Lynch DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
260 Fortenberry Rd
Merritt Island, FL 32952
Phone (321) 454-6333
2404 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-1327
1655 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 269-4911
Interoperability endpoints
- khammock71929@epicdirect.hf.org
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Merritt Island, FL
- NPI 1427236199
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1053998377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6549 N WICKHAM RD STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402041",
"telephone_number": "708-969-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6549 N WICKHAM RD STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402041",
"telephone_number": "708-969-3924"
}
],
"practiceLocations": [
{
"address_1": "7727 Lake Underhill Rd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328228224",
"country_code": "US",
"telephone_number": "407-303-8110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOCK",
"first_name": "KAITLYN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "4463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.