C Hammerly Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28143711A Issued in IN

Legal business name

C HAMMERLY ANESTHESIA SERVICES LLC

Practice address

1601 W Lincoln Rd
Kokomo, IN 46902-3275

Phone

(765) 453-5696

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cornelia Hammerly, CRNANPI 1629050562

Title

Owner/Sole Proprietor

Phone

(317) 873-9594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cornelia Hammerly, CRNA

  • Certified Registered Nurse Anesthetist
  • Anderson, IN
  • NPI 1629050562

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1790123263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALLY HO CIR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778271",
            "telephone_number": "574-268-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023275",
            "telephone_number": "765-453-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C HAMMERLY ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "HAMMERLY",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "317-873-9594",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28143711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Christine Butler, RBT
• Shannon Elizabeth Butts
• Heather Bye, NP
• Dominique Joseph Byrd, OTR
• Kimberly Sue Byrum
• C W Bartholomew, DDS, PC
• Julie M Caldwell Harrell, LCSW
• James Calhoun
• Elizabeth M Callane, MA CCC SLP
• Helen Calvin, O.D.

• Certified Registered Nurse Anesthetist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.