KELLY A HAMMILL


Address: 220 N Main St, Ann Arbor, MI 48104-1413
Phone: 7342226580

KELLY A HAMMILL (NPI# 1003381062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003381062
Entity Type Individual
Full Name KELLY A HAMMILL
Credential NURSE PRACTITIONER
Practice Address 220 N Main St
Ann Arbor
MI 48104-1413
Mailing Address 3154 Sunnywood Dr
Ann Arbor
MI 48103-2063
Practice Telephone 7342226580
Practice Fax Number 7342226715
Mailing Telephone 7349724896
Enumeration Date 2018-10-05
Last Update Date 2018-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704177746 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 220 N MAIN ST
City ANN ARBOR
State MI
Zip Code 48104-1413

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NPI Name Taxonomy Address Enumeration
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1073035457 Raynaldo Juaquin Valdez Specialist/Technologist 500 E. Hoover Ave, Ann Arbor, MI 48104 2017-07-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1841702586 Nancy Marie Bigelow Nurse Practitioner 2750 S State St, Ann Arbor, MI 48104-6179 2017-11-03
1235546193 Citta Mental Health Services Nurse Practitioner 3300 Washtenaw Ave, Suite 295, Ann Arbor, MI 48104-4200 2014-07-11
1568890077 Leah M Husby Nurse Practitioner 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 2013-10-18
1568675403 Charlotte Ruth Cowles Nurse Practitioner 2215 Fuller Rd, Department of Veterans Affairs Medical Center, Ann Arbor, MI 48105-2335 2007-05-07
1578598470 Joan Elizabeth Stein Nurse Practitioner 2215 Fuller Rd, Ann Arbor, MI 48105-2335 2006-07-11

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1689211823 Wanda Edwards Nurse Practitioner 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 2019-12-06
1508416355 Stephanie Lauren Marl Nurse Practitioner 29800 Adams Dr, Gibraltar, MI 48173 2019-09-13
1457905614 Natalie Poole Nurse Practitioner 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 2019-07-26
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Competitor

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City ANN ARBOR
Zip Code 48104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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