Theresa Lyn Hamel, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

39947 Issued in NC

Practice address

915 Lake Blvd NE
Bemidji, MN 56601-3920

Phone

(828) 231-7742

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Lyn Redman Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Harrisonburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Elkton, VA
  • NPI 1750827523
  Medicare reassignment NPD
• Harrisonburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisonburg, VA
  • NPI 1871775882
  Medicare reassignment NPD
• Harrisonburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisonburg, VA
  • NPI 1477839413
  NPD
• Harrisonburg Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Harrisonburg, VA
  • NPI 1619700150
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659329910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24760 HOSPITAL DRIVE",
            "address_2": "HWY 1",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710249",
            "telephone_number": "218-679-3912",
            "fax_number": "218-679-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAKE BLVD NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013920",
            "telephone_number": "828-231-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "THERESA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "39947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "REDMAN",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abdulkadir Hagi
• Zachary Kendall Haider
• Matthew Aaron Hallanger, D.O.
• Angela Halvorson, NP
• Cami Hambrock, MS
• Carter Hanlon
• Keisha Rae Mi Ok Hansen, BSW
• Laura Margaret Hansen, MSW, LICSW
• Megan Hansen
• Alison Elizabeth Hanson, NP

• Pediatrics Physician in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.