Individual provider Active NPI

Shavonne Hammann, BCMMHC, CPRSS

  • Peer Specialist
  • North Las Vegas, NV
National Provider Identifier
1205529419
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
235 W Brooks Ave
North Las Vegas, NV 89030-3925
Phone
(702) 331-6371
Fax
(702) 331-1389
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

235 W Brooks Ave
North Las Vegas, NV 89030-3925

Mailing address

235 W Brooks Ave
North Las Vegas, NV 89030-3925
Phone (702) 331-6371

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1205529419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W BROOKS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303925",
            "telephone_number": "702-331-6371",
            "fax_number": "702-331-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W BROOKS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303925",
            "telephone_number": "702-331-6371",
            "fax_number": "702-331-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMANN",
        "first_name": "SHAVONNE",
        "credential": "BCMMHC, CPRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.