Active NPI
Hamilton Healthcare Aesthetics LLC
- Primary Care Nurse Practitioner
- Dundalk, MD
National Provider Identifier
1194450296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- HAMILTON HEALTHCARE AESTHETICS LLC
- Practice address
- 4202 Lynhurst Rd
Dundalk, MD 21222-3613 - Phone
- (443) 840-9611
- NPI assigned
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Hamilton, FNP-BC
- Title
- Nurse Practitioner
- Phone
- (443) 840-9611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
4202 Lynhurst Rd
Dundalk, MD 21222-3613
Mailing address
4202 Lynhurst Rd
Dundalk, MD 21222-3613
Phone (443) 840-9611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Dundalk, MD
- NPI 1750989554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691712000000",
"number": "1194450296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 LYNHURST RD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212223613",
"telephone_number": "443-840-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 LYNHURST RD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212223613",
"telephone_number": "443-840-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON HEALTHCARE AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "443-840-9611",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.