Kathleen Marie Megha Hammaker, M.S.,R.N.,A.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7224-185 Issued in AK

Practice address

425 E Dahlia Ave
Ste MB
Palmer, AK 99645-6414

Phone

(907) 746-4412

Fax

(907) 746-5539

NPI assigned

Feb 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1285769919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E DAHLIA AVE",
            "address_2": "STE MB",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-4412",
            "fax_number": "907-746-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E DAHLIA AVE",
            "address_2": "STE MB",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456414",
            "telephone_number": "907-746-4412",
            "fax_number": "907-746-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAKER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE MEGHA",
        "name_prefix": "Ms.",
        "credential": "M.S.,R.N.,A.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "7224-185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2411",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hall
• Mike J Hall
• Theresa Gale Hall, APRN
• Yvonne E Hall, L.P.N. L.M.T. P.H.D
• Ellen J Halverson, M.D.
• Johnny Shawn Hammons
• Scott Hancey, PMHNP
• Jessi Tana Hansen, LMT
• Lacey Kate Hansen
• Veronica Harber, LMT

• Psychiatric/Mental Health Nurse Practitioner in Palmer, AK
• Providers in Palmer, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.