Individual provider Active NPI

Allegra Jacqueline Hamman, CRNP

  • Nurse Practitioner
  • Lutherville Timonium, MD
National Provider Identifier
1104049063
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R109043 Issued in MD
Practice address
10753 Falls Rd
Johns Hopkins at Green Spring Suite 315
Lutherville Timonium, MD 21093-4535
Phone
(410) 583-2926
Fax
(410) 583-2883
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R109043 MD Primary

Addresses

Primary practice location

10753 Falls Rd
Johns Hopkins at Green Spring Suite 315
Lutherville Timonium, MD 21093-4535

Mailing address

10753 Falls Rd
Johns Hopkins at Green Spring Suite 315
Lutherville Timonium, MD 21093-4535
Phone (410) 583-2926

Other identifiers 1

IdentifierTypeStateIssuer
570039600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110324000234 MD Practitioner - Nurse Practitioner 3072796382 Reassigns benefits to 2 organizations
I20201228000125 DC Practitioner - Nurse Practitioner 3072796382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

10753 Falls Rd
Lutherville, MD 21093-4535
Phone (410) 583-2727

Hospital & facility affiliations

  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R109043MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Dec 1, 2020 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Dec 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2011 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Dec 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2011 Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

10753 Falls Rd
Lutherville Timonium, MD 21093
Phone (410) 583-2665

10753 Falls Rd
Ste 315
Lutherville Timonium, MD 21093
Phone (410) 583-2830

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: ahamman32419@direct.hopkinsmedicine.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1104049063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "JOHNS HOPKINS AT GREEN SPRING SUITE 315",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-2926",
            "fax_number": "410-583-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "JOHNS HOPKINS AT GREEN SPRING SUITE 315",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-2926",
            "fax_number": "410-583-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAN",
        "first_name": "ALLEGRA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R109043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570039600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.