Individual provider Active NPI

Katherine Hammer, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1366017808
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
178371 Issued in AK
Practice address
3300 Fairbanks St Ste a
Anchorage, AK 99503-4165
Phone
(907) 561-3488
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 178371 AK Primary

Addresses

Primary practice location

3300 Fairbanks St Ste a
Anchorage, AK 99503-4165

Mailing address

3300 Fairbanks St Ste a
Anchorage, AK 99503-4165
Phone (907) 561-3488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 11, 2021 through Jun 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178371AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

3300 Fairbanks St
Ste A
Anchorage, AK 99503
Phone (907) 561-3488

3300 Artic Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 561-3488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1366017808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FAIRBANKS ST STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034165",
            "telephone_number": "907-561-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 FAIRBANKS ST STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034165",
            "telephone_number": "907-561-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "178371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.