Active NPI
Connie Hammond
- Emergency Medicine Physician
- Peoria, AZ
National Provider Identifier
1376096024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- AP8713
- Practice address
- 7615 W Thunderbird Rd
Ste 106
Peoria, AZ 85381-6083 - Phone
- (623) 547-6838
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP8713 | AZ | |
| Family Medicine Physician | 207Q00000X | AP8713 | AZ | |
| Emergency Medicine Physician | 207P00000X | AP8713 | AZ | Primary |
Addresses
Primary practice location
7615 W Thunderbird Rd
Ste 106
Peoria, AZ 85381-6083
Mailing address
7615 W Thunderbird Rd
Ste 106
Peoria, AZ 85381-6083
Phone (623) 547-6838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8713 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1376096024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7615 W THUNDERBIRD RD",
"address_2": "STE 106",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853816083",
"telephone_number": "623-547-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 W THUNDERBIRD RD",
"address_2": "STE 106",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853816083",
"telephone_number": "623-547-6838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP8713",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "AP8713",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "AP8713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.