NPIMap

Organization Active NPI

Hamilton Medical & Associates

  • Family Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1265069488
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HAMILTON MEDICAL & ASSOCIATES
Practice address
124 Slade Ave Ste 101
Pikesville, MD 21208-4900
Phone
(410) 855-4448
NPI assigned
Mar 26, 2020
Organization subpart
Yes
Parent organization
HEALING MIND WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Tywanna Hamilton, CRNPNPI 1487070868
Title
Medical Director/Nurse Practitioner
Phone
(410) 855-4448

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

124 Slade Ave Ste 101
Pikesville, MD 21208-4900

Mailing address

124 Slade Ave Ste 101
Pikesville, MD 21208-4900
Phone (410) 855-4448

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL EMR
Other URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200417001963 MD Part B Supplier - Clinic/Group Practice 4183054950 Receives reassigned benefits from 3 practitioners
Practice locations: Pikesville, MD
O20210301000527 DC Part B Supplier - Clinic/Group Practice 4183054950 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Medical Associates3 organizations share this tax ID, including this one
Part of
Healing Mind Wellness

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1265069488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-855-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-855-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MEDICAL & ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALING MIND WELLNESS",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TYWANNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-855-4448",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "124 Slade Ave Ste 101",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212084900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "124 Slade Ave Ste 101",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212084900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.

Verify at the official NPI Registry.