Individual provider Active NPI

Courtney Melissa Hammer, D.C.

  • Chiropractor
  • Snohomish, WA
National Provider Identifier
1467755439
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60179151 Issued in WA
Practice address
17416 Sr 9 SE, Suite B
Snohomish, WA 98296
Phone
(541) 740-1499
Fax
(541) 740-1499
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60179151 WA Primary

Addresses

Primary practice location

17416 Sr 9 SE, Suite B
Snohomish, WA 98296

Mailing address

17416 Sr 9 SE, Suite B
Snohomish, WA 98296
Phone (541) 740-1499

Other names 1

  • Courtney Melissa Wood Former name

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

State licenses

LicenseStateTypeSpecialty
60179151WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Life Chiropractic, P.S. PastSince Nov 2, 2015 Accepting new patients

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1467755439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17416 SR 9 SE, SUITE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98296",
            "telephone_number": "541-740-1499",
            "fax_number": "541-740-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 SR 9 SE, SUITE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98296",
            "telephone_number": "541-740-1499",
            "fax_number": "541-740-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "COURTNEY",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60179151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WOOD",
            "middle_name": "MELISSA",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.