Individual provider Active NPI

Dawn McKinney-Hammock, AG/ACNP-BC, CCRN

  • Acute Care Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1275923948
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
582713 Issued in TX
Practice address
404 S Walnut St
Cleburne, TX 76033-5427
Phone
(713) 304-2852
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 582713 TX Primary

Addresses

Primary practice location

404 S Walnut St
Cleburne, TX 76033-5427

Mailing address

404 S Walnut St
Cleburne, TX 76033-5427
Phone (713) 304-2852

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-0211

Other names 1

  • Ms. Dawn McKinney Hammock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
582713TXMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1275923948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S WALNUT ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335427",
            "telephone_number": "713-304-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S WALNUT ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335427",
            "telephone_number": "713-304-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY-HAMMOCK",
        "first_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "AG/ACNP-BC, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "582713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "HAMMOCK",
            "middle_name": "MCKINNEY",
            "prefix": "MS.",
            "credential": "AG/ACNP-BC, CCRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.