Individual provider Active NPI

Evelyn Hamman, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1902434665
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11006781 Issued in FL
Practice address
13802 Moosehead Cir
Hudson, FL 34669-3920
Phone
(813) 817-8357
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN10006781 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN11006781 FL Primary

Addresses

Primary practice location

13802 Moosehead Cir
Hudson, FL 34669-3920

Mailing address

13802 Moosehead Cir
Hudson, FL 34669-3920
Phone (813) 817-8357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909000259 DC Practitioner - Nurse Practitioner 1850784893 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN10006781FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighbors' Consejo Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Doctors Collaborative Care Solutions PastSince Jan 10, 2022 Accepting new patients

Locations

6323 Georgia Ave NW
Ste 206
Washington, DC 20011
Phone (202) 234-6855

Organizations & group practices 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1902434665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 MOOSEHEAD CIR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346693920",
            "telephone_number": "813-817-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 MOOSEHEAD CIR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346693920",
            "telephone_number": "813-817-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAN",
        "first_name": "EVELYN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN10006781",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11006781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.