Etta Leora Hammie, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

171393 Issued in TX

Practice address

2327 Oakland Blvd
Ft. Worth, TX 76011

Phone

(817) 984-1496

Fax

(817) 984-1497

NPI assigned

May 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1265819916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SKYLINE DR",
            "address_2": "APT 1412",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760111383",
            "telephone_number": "817-298-9792",
            "fax_number": "817-617-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 OAKLAND BLVD",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76011",
            "telephone_number": "817-984-1496",
            "fax_number": "817-984-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMIE",
        "first_name": "ETTA",
        "middle_name": "LEORA",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "171393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousef Hammad, DMD
• James B Hamman, D.D.S.
• Amanda Anita Hammer, OTD, OTR/L
• Kimberly J Hammerton, CPNP
• Roseann Rae Hammett, LPC
• Andrew Hammond, APRN FNP-C
• Douglas Edward Hammons, MD
• Matthew A Hammons, M.D.
• April Hampton, LCDC
• Danielle Hampton, PHARMD

• Licensed Practical Nurse in Ft. Worth, TX
• Providers in Ft. Worth, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.