Individual provider Active NPI

Angela C Hammond, WHNP, APN, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1326046707
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5606 Issued in TN
Practice address
2579 Douglass Ave
Southeast Mental Health Center
Memphis, TN 38114-2532
Phone
(901) 369-1480
Fax
(901) 312-7572
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5606 TN Primary
Women's Health Nurse Practitioner 363LW0102X 5606 TN

Addresses

Primary practice location

2579 Douglass Ave
Southeast Mental Health Center
Memphis, TN 38114-2532

Mailing address

3810 Winchester Rd
Southeast Mental Health Center
Memphis, TN 38118-6045
Phone (901) 369-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000626 TN Practitioner - Nurse Practitioner 5092867598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1326046707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 WINCHESTER RD",
            "address_2": "SOUTHEAST MENTAL HEALTH CENTER",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186045",
            "telephone_number": "901-369-1420",
            "fax_number": "901-369-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 DOUGLASS AVE",
            "address_2": "SOUTHEAST MENTAL HEALTH CENTER",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381142532",
            "telephone_number": "901-369-1480",
            "fax_number": "901-312-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "WHNP, APN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "5606",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "5606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.