Jenna Renae Hampton

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2067470 Issued in TX

Practice address

3201 4TH St
Longview, TX 75605-5145

Phone

(903) 236-4291

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By the provider in NPPES

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1295235828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055145",
            "telephone_number": "903-236-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055145",
            "telephone_number": "903-236-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "JENNA",
        "middle_name": "RENAE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2067470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Hamer, MD
• Anna Hamilton, FNP
• Robert Hugh Hamilton, D.D.S.
• Savanna Joy Hamilton, LPC
• Traci Hamilton, SLP
• John Han, MD
• Madeline Hand, SLP-ASSISTANT
• Dusty Rae Hane, AGACNP
• Shafik Hanna-Moussa, MD
• Andrew Hansen

• Physical Therapy Assistant in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.