Individual provider Active NPI

Angela Hammond, CRNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1457452039
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-066611 Issued in AL
Practice address
1980 Nonconnah Blvd Ste 100
Memphis, TN 38132-2131
Phone
(901) 523-8990
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-066611 AL Primary

Addresses

Primary practice location

1980 Nonconnah Blvd Ste 100
Memphis, TN 38132-2131

Mailing address

1980 Nonconnah Blvd Ste 100
Memphis, TN 38132-2131
Phone (901) 523-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100607000750 AL Practitioner - Nurse Practitioner 3870623507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-066611ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Foundation PC Family Medicine Current Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jan 1, 2010 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jan 1, 2010 Accepting new patients

Locations

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1457452039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 NONCONNAH BLVD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322131",
            "telephone_number": "901-523-8990",
            "fax_number": "901-522-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 NONCONNAH BLVD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322131",
            "telephone_number": "901-523-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "ANGELA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-066611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.