Individual provider Active NPI

Gena Kenitra Hammac, D.V.M.

  • Veterinarian
  • Pullman, WA
National Provider Identifier
1902118367
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VT00008909 Issued in WA
Practice address
425 NW Darrow St
Pullman, WA 99163-3309
Phone
(251) 259-7612
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VT00008909 WA Primary

Addresses

Primary practice location

425 NW Darrow St
Pullman, WA 99163-3309

Mailing address

425 NW Darrow St
Pullman, WA 99163-3309
Phone (251) 259-7612

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VT00008909WAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1902118367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NW DARROW ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633309",
            "telephone_number": "251-259-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NW DARROW ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633309",
            "telephone_number": "251-259-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAC",
        "first_name": "GENA",
        "middle_name": "KENITRA",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT00008909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.