Active NPI
Kathleen Marie Hammond, FNP
- Family Nurse Practitioner
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011035324
- Practice address
- 1212 Weber Rd
Farmington, MO 63640-3325 - Phone
- (573) 756-4581
- NPI assigned
- Aug 16, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011035324 | MO | Primary |
| Nurse Practitioner | 363L00000X | 2011035324 | MO |
Addresses
Primary practice location
1212 Weber Rd
Farmington, MO 63640-3325
Mailing address
1212 Weber Rd
Farmington, MO 63640-3325
Phone (573) 756-4581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011035324 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
| State of Missouri | Current | Accepting new patients | |
| State of Missouri | Current | Accepting new patients | |
| Farmington Physician Services LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
1212 Weber Rd
Farmington, MO 63640
Phone (573) 756-3662
1010 W Columbia St
Farmington, MO 63640
Phone (573) 218-6792
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
Organizations & group practices 4
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.
-
dba Southeast MO Mental Health Center
- Psychiatry Physician
- Farmington, MO
- NPI 1437106705
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
MO, Nurse Practitioner
-
dba Developmental Disabilities Behavior Services
- Psychiatry Physician
- Kansas City, MO
- NPI 1386198448
-
- Hospitalist Physician
- Farmington, MO
- NPI 1659642825
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1508145954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 WEBER RD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403325",
"telephone_number": "573-756-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 WEBER RD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403325",
"telephone_number": "573-756-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011035324",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2011035324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.