Ahmir Kenneth Hammond

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI 1578286662 · NPPES record last updated Sep 28, 2022

Key facts

NPI
1578286662
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3150 Carlisle Blvd NE
Albuquerque, NM 87110-1678
Phone
(505) 633-8173
NPI assigned
Sep 22, 2022
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Umoja Behavioral Health PC Past
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3150 Carlisle Blvd NE
Albuquerque, NM 87110-1678

Mailing address

3150 Carlisle Blvd NE
Albuquerque, NM 87110-1678

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Student in an Organized Health Care Education/Training Program in New Mexico

Sources for this page

Verify at the official NPI Registry.