Individual provider Active NPI

Lisa M Hammond, NP-C

  • Primary Care Nurse Practitioner
  • Parker, CO
National Provider Identifier
1124360771
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0990664 Issued in CO
Practice address
9251 Twenty Mile Road
Parker, CO 80134
Phone
(970) 225-5000
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0990664 CO Primary

Addresses

Primary practice location

9251 Twenty Mile Road
Parker, CO 80134

Mailing address

4674 Snow Mesa Dr.
Suite 140
Fort Collins, CO 80528
Phone (970) 225-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150924001474 CO Practitioner - Nurse Practitioner 5294052478 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0990664COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bender Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
The Little Clinic of Colorado, LLC CurrentSince Aug 11, 2015 Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients
Bender Medical Group Inc PastSince Jul 5, 2020 Accepting new patients

Locations

313 W Drake Rd
Ste 100
Fort Collins, CO 80526
Phone (970) 225-5028

4674 Snow Mesa Dr
Ste 140
Fort Collins, CO 80528
Phone (970) 225-5000

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

9251 Twenty Mile Rd
Parker, CO 80134
Phone (303) 805-5528

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1124360771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 SNOW MESA DR.",
            "address_2": "SUITE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80528",
            "telephone_number": "970-225-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 TWENTY MILE ROAD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "970-225-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "0990664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.