Kimberly J Hammon, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164000434 Issued in IL

Practice address

1410 N Arlington Heights Rd Ste 200
Arlington Heights, IL 60004-4827

Phone

(847) 618-1640

Fax

(847) 618-1649

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.9 of 100Reported as group

Quality

75.91

Promoting interoperability

99

Improvement activities

40

Cost

74.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  Medicare reassignment Care Compare group NPD
• Northwest Community Health Services Inc

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1134433154
  Medicare reassignment NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Northwest Community Health Services Inc

  • Obstetrics Physician
  • Arlington Heights, IL
  • NPI 1467057513
  NPD

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104083799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N ARLINGTON HEIGHTS RD STE 200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044827",
            "telephone_number": "847-618-1640",
            "fax_number": "847-618-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N ARLINGTON HEIGHTS RD STE 200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044827",
            "telephone_number": "847-618-1640",
            "fax_number": "847-618-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMON",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MS  RD  LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "164000434",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "164000434",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khammon103475@direct.nch.org",
            "affiliation": "N",
            "address_1": "1410 N Arlington Heights Rd Ste 200",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600044827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Lynn Hall, OT
• Christopher John Hall, D.M.D.
• Jamie Elaine Hamick, APN-CNP
• Joann Frances Hamm, O.D.
• Ryan D Hamm, D.C.
• Chang Rung Han, D.C.
• Rainah Hanif
• Natalia M Hankus, FNP-BC
• James John Hannigan IV, MAT, ATC
• Constance Lynn Hanninen, P.A.

• Registered Dietitian in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.