Active NPI
HG Mama Coach LLC
- Family Nurse Practitioner
- Laveen, AZ
National Provider Identifier
1790648327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HG MAMA COACH LLC
- Practice address
- 4512 W Pearce Rd
Laveen, AZ 85339 - Phone
- (602) 499-3866
- NPI assigned
- Dec 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hannah Gammage, NP
- Title
- Owner
- Phone
- (775) 530-5225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4512 W Pearce Rd
Laveen, AZ 85339
Mailing address
4611 E Chandler Blvd Ste 112
Phoenix, AZ 85048-0442
Phone (602) 499-3866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101232 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1346811155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1790648327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 E CHANDLER BLVD STE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480442",
"telephone_number": "602-499-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 W PEARCE RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "85339",
"telephone_number": "602-499-3866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HG MAMA COACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-11-25",
"status": "A",
"authorized_official_last_name": "GAMMAGE",
"authorized_official_first_name": "HANNAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "775-530-5225",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101232",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.