Active NPI
Jeremiah Michael Hammett, PRSS
- Peer Specialist
- Huntington, WV
National Provider Identifier
1235840687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 21-948
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-948 | WV | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawc | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Huntington, WV
- NPI 1235843319
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.