Stephanie Hammond Perez, LSW28629

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW28629 Issued in ID

Practice address

140 N Corner St
Idaho Falls, ID 83402-4032

Phone

(208) 523-0785

Fax

(208) 523-0785

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1124285804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-529-8832",
            "fax_number": "208-522-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N CORNER ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024032",
            "telephone_number": "208-523-0785",
            "fax_number": "208-523-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND PEREZ",
        "first_name": "STEPHANIE",
        "credential": "LSW28629",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW28629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002648300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807375600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Hallbert
• Samantha Hamilton
• Jessica Hammon
• Justin Tyrell Hammon, D.C.
• Telietha Ann Hammon, FNP-BC
• Hammond Speech Pathology LLC
• Blaine A Hammond, DMD
• Boyd Lewis Hammond, MEDICAL DOCTOR
• Joann Hammond, M.S. CCC/SLP
• William Joseph Hammond, MD, MSC

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.