Individual provider Active NPI

Jennifer Anne Hamner, D.P.M.

  • Podiatrist
  • Round Rock, TX
National Provider Identifier
1902004088
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006223 Issued in NY
Practice address
1628 Jerusalem Dr
Round Rock, TX 78664-8620
Phone
(512) 963-2875
NPI assigned
Jul 10, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006223 NY Primary

Addresses

Primary practice location

1628 Jerusalem Dr
Round Rock, TX 78664-8620

Mailing address

1628 Jerusalem Dr
Round Rock, TX 78664-8620
Phone (512) 963-2875

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

State licenses

LicenseStateTypeSpecialty
N006223NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama-Coushatta Tribe of Texas Past Accepting new patients
Alabama-Coushatta Tribe of Texas PastSince Nov 10, 2021 Accepting new patients
Bluebonnet Podiatry Podiatrist Past Accepting new patients
Podiatry Consultants of Texas, Inc Podiatrist Past Accepting new patients
Karen Elizabeth Chagnon Dba Senior Care Associates of Texas Podiatrist PastSince May 7, 2014 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1902004088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 JERUSALEM DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786648620",
            "telephone_number": "512-963-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 JERUSALEM DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786648620",
            "telephone_number": "512-963-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.