Individual provider Active NPI

Jacquelyn Lee Hammel, RN, BSN, MPH

  • Registered Nurse
  • Avon, CO
National Provider Identifier
1346633138
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.1621987 Issued in CO
Practice address
100 W Beaver Creek Blvd
107
Avon, CO 81620
Phone
(970) 328-9813
Fax
(855) 848-8829
NPI assigned
Mar 18, 2015
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1621987 CO Primary

Addresses

Primary practice location

100 W Beaver Creek Blvd
107
Avon, CO 81620

Mailing address

PO Box 660
Eagle, CO 81631-0660
Phone (970) 328-8840

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.1621987COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1346633138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816310660",
            "telephone_number": "970-328-8840",
            "fax_number": "855-848-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BEAVER CREEK BLVD",
            "address_2": "107",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-328-9813",
            "fax_number": "855-848-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMEL",
        "first_name": "JACQUELYN",
        "middle_name": "LEE",
        "credential": "RN, BSN, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1621987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.