Individual provider Active NPI

Michelle Hammock-Love, PA

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1346360021
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01739 Issued in TX
Practice address
2703 82ND St
Lubbock, TX 79423-1429
Phone
(806) 761-0428
Fax
(806) 712-0168
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01739 TX Primary

Addresses

Primary practice location

2703 82ND St
Lubbock, TX 79423-1429

Mailing address

5219 City Bank Pkwy
Suite 35
Lubbock, TX 79407-3544
Phone (806) 761-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1346360021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY",
            "address_2": "SUITE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-761-0334",
            "fax_number": "806-722-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231429",
            "telephone_number": "806-761-0428",
            "fax_number": "806-712-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOCK-LOVE",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.