Individual provider Active NPI

Krista Hammer, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Orchard Park, NY
National Provider Identifier
1609204916
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024455-1 Issued in NY
Practice address
240 Redtail Rd Suite 12a
Orchard Park, NY 14127-1412
Phone
(716) 608-2988
Fax
(716) 608-2988
NPI assigned
Oct 23, 2013
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 024455-1 NY Primary

Addresses

Primary practice location

240 Redtail Rd Suite 12a
Orchard Park, NY 14127-1412

Mailing address

240 Redtail Rd Suite 12a
Orchard Park, NY 14127-0094
Phone (716) 608-2988

Other practice location 1

14258 School Street
Collins Center, NY 14035-0094
Phone (716) 532-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119000523 NY Practitioner - Qualified Speech Language Pathologist 3870847460 Practice locations: Orchard Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
024455-1NYMDSpeech-Language Pathologist
024455NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Double Talk, LLC Speech-Language Pathologist CurrentSince Sep 1, 2019 Accepting new patients
Double Talk - Bilingual Speech Therapy Services PastSince Oct 5, 2018 Accepting new patients

Locations

240 Red Tail Rd
Ste 12A
Orchard Park, NY 14127
Phone (716) 608-2988

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1609204916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 REDTAIL RD SUITE 12A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270094",
            "telephone_number": "716-608-2988",
            "fax_number": "716-608-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 REDTAIL RD SUITE 12A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271412",
            "telephone_number": "716-608-2988",
            "fax_number": "716-608-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14258 School Street",
            "address_purpose": "LOCATION",
            "city": "Collins Center",
            "state": "NY",
            "postal_code": "140350094",
            "country_code": "US",
            "telephone_number": "716-532-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "KRISTA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024455-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.