Organization Active NPI

Hammer Innovative Healthcare, LLC

  • Chiropractor
  • Largo, FL
National Provider Identifier
1083012009
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11330 Issued in FL
Legal business name
HAMMER INNOVATIVE HEALTHCARE, LLC
Practice address
12122 Seminole Blvd
Largo, FL 33778-2833
Phone
(727) 584-3386
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Melodie Hammer Wakefield, DC
Title
Owner
Phone
(727) 584-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11330 FL Primary

Addresses

Primary practice location

12122 Seminole Blvd
Largo, FL 33778-2833

Mailing address

12122 Seminole Blvd
Largo, FL 33778-2833
Phone (727) 584-3386

National Provider Directory

National Provider Directory

Locations

12122 Seminole Blvd
Largo, FL 33778
Phone (727) 584-3386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1083012009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12122 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782833",
            "telephone_number": "727-584-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12122 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782833",
            "telephone_number": "727-584-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMER INNOVATIVE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "HAMMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-584-3386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.