Shirley Brown Hamilton

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

1001 S Marshall St Ste 52
Winston Salem, NC 27101-5858

Phone

(336) 577-5904

Fax

(336) 724-1194

NPI assigned

Jul 19, 2008

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1629233614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST STE 52",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015858",
            "telephone_number": "336-577-5904",
            "fax_number": "336-724-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST STE 52",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015858",
            "telephone_number": "336-577-5904",
            "fax_number": "336-724-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHIRLEY",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418980",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Hamby, MA
• Clayton Thomas Hamilton
• Dora Hamilton
• Rachel Hamilton, PHD
• Sandi Elizabeth Hamilton, MS, RD, LDN
• Stephen Gibbons Hamilton, L.C.S.W.
• Eric James Hamm, MS, OTR/L
• Hannah Smith Hammaker
• Dudley Elliott Hammon, M.D.
• Aaryn Kelli Hammond, MD

• Developmentally Disabled Services Day Training Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.