Individual provider Active NPI

Amy Kylene Hamm

  • Registered Nurse
  • Metairie, LA
National Provider Identifier
1083283261
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
572095 Issued in TX
Practice address
3925 N I 10 Service Rd W Ste 117
Metairie, LA 70002-6831
Phone
(504) 482-2735
Fax
(504) 482-2737
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 572095 TX Primary

Addresses

Primary practice location

3925 N I 10 Service Rd W Ste 117
Metairie, LA 70002-6831

Mailing address

3925 N I 10 Service Rd W Ste 117
Metairie, LA 70002-6831
Phone (504) 482-2735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
572095TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1083283261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N I 10 SERVICE RD W STE 117",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026831",
            "telephone_number": "504-482-2735",
            "fax_number": "504-482-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N I 10 SERVICE RD W STE 117",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026831",
            "telephone_number": "504-482-2735",
            "fax_number": "504-482-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "AMY",
        "middle_name": "KYLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "572095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.