Individual provider Active NPI

Jeremiah Michael Hammett, PRSS

  • Peer Specialist
  • Huntington, WV
National Provider Identifier
1235840687
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
21-948 Issued in WV
Practice address
1236 5TH Ave
Huntington, WV 25701-2207
Phone
(681) 204-5400
NPI assigned
Dec 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 21-948 WV Primary

Addresses

Primary practice location

1236 5TH Ave
Huntington, WV 25701-2207

Mailing address

343 5TH Ave
Huntington, WV 25701-1811
Phone (304) 894-4515

Other practice location 1

802 Oak St
Kenova, WV 25530-1519
Phone (304) 908-1056

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

LicenseStateTypeSpecialty
21-948WVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawc CurrentSince Jan 15, 2023 Accepting new patients

Locations

1236 5th Ave
Huntington, WV 25701
Phone (681) 204-5400

Organizations & group practices 1

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1235840687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011811",
            "telephone_number": "304-894-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012207",
            "telephone_number": "681-204-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Oak St",
            "address_purpose": "LOCATION",
            "city": "Kenova",
            "state": "WV",
            "postal_code": "255301519",
            "country_code": "US",
            "telephone_number": "304-908-1056",
            "fax_number": "304-400-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMETT",
        "first_name": "JEREMIAH",
        "middle_name": "MICHAEL",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "21-948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.