Active NPI
David F Hampson, MD
- Family Medicine Physician
- Walla Walla, WA
National Provider Identifier
1972619369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00026493
- Practice address
- 380 Chase Ave
Convenient Care
Walla Walla, WA 99362-2924 - Phone
- (509) 522-5171
- Fax
- (509) 522-5899
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00026493 | WA | Primary |
Addresses
Primary practice location
380 Chase Ave
Convenient Care
Walla Walla, WA 99362-2924
Mailing address
PO Box 34439
Seattle, WA 98124-1439
Other practice location 1
1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone (509) 897-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972619369 | Medicaid | WA | |
| 287288 | Medicaid | OR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhampson186050@wm.providencedirect.org | Direct | |
| Direct Messaging Address | dhampson186050@wm.providencedirect.org | Direct |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Washington, PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1972619369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34439",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CHASE AVE",
"address_2": "CONVENIENT CARE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622924",
"telephone_number": "509-522-5171",
"fax_number": "509-522-5899"
}
],
"practiceLocations": [
{
"address_1": "1025 S 2nd Ave",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993624116",
"country_code": "US",
"telephone_number": "509-897-3000",
"fax_number": "509-897-5899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMPSON",
"first_name": "DAVID",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00026493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972619369",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287288",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhampson186050@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "380 Chase Ave",
"address_2": "Convenient Care",
"city": "Walla Walla",
"state": "WA",
"country_code": "US",
"postal_code": "993622924",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhampson186050@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1025 S 2nd Ave",
"city": "Walla Walla",
"state": "WA",
"country_code": "US",
"postal_code": "993624116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.