Individual provider Active NPI

Nathaniel Hamm, FNP, DC

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1699704072
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339967 Issued in NY
Practice address
1101 Erie Blvd E Ste 203
Syracuse, NY 13210-1144
Phone
(315) 400-3031
Fax
(315) 400-3114
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011001 NY
Family Nurse Practitioner 363LF0000X F339967 NY Primary

Addresses

Primary practice location

1101 Erie Blvd E Ste 203
Syracuse, NY 13210-1144

Mailing address

1101 Erie Blvd E Ste 203
Syracuse, NY 13210-1144
Phone (315) 400-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171213001486 NY Practitioner - Nurse Practitioner 5496709933 Practice locations: Syracuse, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
X011001NYMDChiropractor
339967NYMDSurgery Physician
F339967NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1699704072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E STE 203",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101144",
            "telephone_number": "315-400-3031",
            "fax_number": "315-400-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E STE 203",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101144",
            "telephone_number": "315-400-3031",
            "fax_number": "315-400-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "FNP, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.