Individual provider Active NPI

Tamika Anschelle Hammond, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
National Provider Identifier
1679279814
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R181178 Issued in MD
Practice address
935 Ramble Run Rd
Middle River, MD 21220-1852
Phone
(443) 912-0561
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 R181178 MD Primary

Addresses

Primary practice location

935 Ramble Run Rd
Middle River, MD 21220-1852

Mailing address

935 Ramble Run Rd
Middle River, MD 21220-1852
Phone (443) 912-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231020002891 DC Practitioner - Nurse Practitioner 1759737182 Reassigns benefits to 1 organization
I20240124003857 MD Practitioner - Nurse Practitioner 1759737182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ags Programs LLCGroup PAC ID 7416364484, 5 clinicians

Practice addresses (Care Compare)

1212 N Wolfe St
Baltimore, MD 21213-3303
Phone (410) 276-2123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R181178MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstchoice Primary Care LLC Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Ags Programs LLC CurrentSince Dec 21, 2023 Accepting new patients

Locations

1212 N Wolfe St
Baltimore, MD 21213
Phone (410) 276-2123

9841 Washingtonian Blvd
Ste 200
Gaithersburg, MD 20878
Phone (240) 720-7797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGIDD

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1679279814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 RAMBLE RUN RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201852",
            "telephone_number": "443-912-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 RAMBLE RUN RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201852",
            "telephone_number": "443-912-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "TAMIKA",
        "middle_name": "ANSCHELLE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R181178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

Verify at the official NPI Registry.