Active NPI
Madison Jo Hammond
- Behavior Technician
- Masonic Home, KY
National Provider Identifier
1972204345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB864737
- Practice address
- 3761 Johnson Hall Dr
Masonic Home, KY 40041-9998 - Phone
- (502) 633-1007
- NPI assigned
- Mar 13, 2023
- Last updated
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB864737 | KY | Primary |
Addresses
Primary practice location
3761 Johnson Hall Dr
Masonic Home, KY 40041-9998
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB864737 | KY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1972204345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3761 JOHNSON HALL DR",
"city": "MASONIC HOME",
"state": "KY",
"postal_code": "400419998",
"telephone_number": "502-633-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "MADISON",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "BACB864737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Masonic Home, KY
- Kylie Rae Dombrosky, MED, BCBA, LBA
- Fresenius Medical Care Masonic Homes, LLC (Fresenius Medical Care Masonic Home)
- Ivonne Gonzalez Hermosillo
- Shannon Marie Gostel
- Connor Brooks Hagan, BS, RBT
- Carly Savannah Hanks, RBT
- James Austin Hawkins, PT
- Barbara Helen Haynes
- Robert Heimann, OTR/L
- Sally Phillips Junkins, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.