Individual provider Active NPI

Hannah Mae Evans-Hamer, MD

  • Pediatrics Physician
  • Thornton, CO
National Provider Identifier
1679935142
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0062174 Issued in CO
Practice address
2900 E 136TH Ave Ste 201
Thornton, CO 80241-3542
Phone
(303) 996-6005
Fax
(303) 420-8831
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0062174 CO Primary

Addresses

Primary practice location

2900 E 136TH Ave Ste 201
Thornton, CO 80241-3542

Mailing address

13001 E 17TH PL
Aurora, CO 80045-2570
Phone (720) 777-6738

Other identifiers 1

IdentifierTypeStateIssuer
9000173339MedicaidCO

Other names 1

  • Hannah Mae La Belle-Hamer Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20171011002780 CO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9830464247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0062174COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
Sunflower Pediatrics, PC Pediatrics Past Accepting new patients
Children'S Hospital Colorado Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hevanshamer55454@direct.childrenscolorado.org
  • Direct secure messaging: hannah.evans-hamer.1@8319.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8319/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1679935142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570",
            "telephone_number": "720-777-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E 136TH AVE STE 201",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413542",
            "telephone_number": "303-996-6005",
            "fax_number": "303-420-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-HAMER",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0062174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000173339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "LA BELLE-HAMER",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.