Individual provider Active NPI

Emily Suzanne Hammer, WHNP-BC

  • Women's Health Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1841612850
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2013043334 Issued in MO
Practice address
20 Progress Point Pkwy
Suite 200
O Fallon, MO 63368-2206
Phone
(636) 926-0404
Fax
(636) 477-6646
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2013043334 MO Primary

Addresses

Primary practice location

20 Progress Point Pkwy
Suite 200
O Fallon, MO 63368-2206

Mailing address

20 Progress Point Pkwy
Suite 200
O Fallon, MO 63368-2206
Phone (636) 926-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013043334MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Reproductive Medicine and Wellness, LLC Past Accepting new patients
Vios Fertility Institute St. Louis, LLC Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients

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": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1841612850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROGRESS POINT PKWY",
            "address_2": "SUITE 200",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682206",
            "telephone_number": "636-926-0404",
            "fax_number": "636-477-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROGRESS POINT PKWY",
            "address_2": "SUITE 200",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682206",
            "telephone_number": "636-926-0404",
            "fax_number": "636-477-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2013043334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.