Active NPI
Kevin Jerome Hammond, MSW
- Case Management Agency
- Gretna, LA
National Provider Identifier
1225811565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 13389
- Practice address
- 1400 Calder St
Gretna, LA 70053-5637 - Phone
- (504) 994-7542
- NPI assigned
- Aug 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 13389 | LA | Primary |
Addresses
Primary practice location
1400 Calder St
Gretna, LA 70053-5637
Mailing address
1400 Calder St Ste 101
Gretna, LA 70053-5637
Phone (504) 994-7542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13389 | LA | MD | Adolescent Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1225811565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CALDER ST STE 101",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535637",
"telephone_number": "504-994-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CALDER ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535637",
"telephone_number": "504-994-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "KEVIN",
"middle_name": "JEROME",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-18",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "LA",
"license": "13389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.