Individual provider Active NPI

Brandy Hammond, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1659443745
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP2073 Issued in AZ
Practice address
444 N 44TH St
#400
Phoenix, AZ 85008-7624
Phone
(602) 685-3846
Fax
(602) 685-3808
NPI assigned
Nov 14, 2006
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP2073 AZ Primary

Addresses

Primary practice location

444 N 44TH St
#400
Phoenix, AZ 85008-7624

Mailing address

444 N 44TH St
#400
Phoenix, AZ 85008-7624
Phone (602) 685-3846

Other identifiers 1

IdentifierTypeStateIssuer
919491MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000607 AZ Practitioner - Nurse Practitioner 0941254718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

325 N Stapley Dr
Mesa, AZ 85203-8030
Phone (480) 615-3800

6850 W Indian School Rd
Phoenix, AZ 85033-3300
Phone (623) 247-0464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicanos Por la Causa Inc CurrentSince Oct 16, 2017 Accepting new patients
Chicanos Por la Causa, Inc CurrentSince Oct 16, 2017 Accepting new patients
Centerstone of Tennessee, Inc. Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Meharry Medical College Past Accepting new patients
Centerstone of Tennessee, Inc. PastSince Jul 3, 2010 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

325 N Stapley Dr
Mesa, AZ 85203
Phone (480) 615-3800

1112 E Buckeye Rd
Phoenix, AZ 85034

1112 E Buckeye Rd
Ste 200
Phoenix, AZ 85034

3639 W Lincoln St
Phoenix, AZ 85009
Phone (602) 233-9747

6850 W Indian School Rd
Phoenix, AZ 85033
Phone (623) 247-0464

Interoperability endpoints

  • Direct secure messaging: brandy.hammond-mmcplc@contexture.medalliesmail.com

Organizations & group practices 8

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1659443745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N 44TH ST",
            "address_2": "#400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087624",
            "telephone_number": "602-685-3846",
            "fax_number": "602-685-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N 44TH ST",
            "address_2": "#400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087624",
            "telephone_number": "602-685-3846",
            "fax_number": "602-685-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "BRANDY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919491",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.