Individual provider Active NPI

Danielle Hamre

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1124647094
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8217 Issued in AZ
Practice address
3005 W Ina Rd Ste 111
Tucson, AZ 85741-2378
Phone
(520) 639-8116
Fax
(520) 639-8133
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 8217 AZ Primary

Addresses

Primary practice location

3005 W Ina Rd Ste 111
Tucson, AZ 85741-2378

Mailing address

3005 W Ina Rd Ste 111
Tucson, AZ 85741-2378
Phone (520) 639-8116

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Series II Az LLC Single Specialty CurrentSince Jul 16, 2023 Accepting new patients
Shawn G Platt DO PLLC Single Specialty CurrentSince Nov 13, 2020 Accepting new patients

Locations

2828 N Stone Ave
Tucson, AZ 85705
Phone (520) 622-4580

3005 W Ina Rd
Ste 111
Tucson, AZ 85741
Phone (480) 613-4137

Organizations & group practices 2

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1124647094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 W INA RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412378",
            "telephone_number": "520-639-8116",
            "fax_number": "520-639-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W INA RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412378",
            "telephone_number": "520-639-8116",
            "fax_number": "520-639-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRE",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.