MRS. SUSAN E. HAMMON


Address: Magtftc Mcagcc, Box 788250, Twentynine Palms, CA 92278-8250
Phone: 7608302194

MRS. SUSAN E. HAMMON (NPI# 1790762748) 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) 1790762748
Entity Type Individual
Full Name MRS. SUSAN E. HAMMON
Credential ANP
Practice Address Magtftc Mcagcc
Box 788250
Twentynine Palms
CA 92278-8250
Mailing Address 1081 N China Lake Blvd
Ridgecrest
CA 93555-3130
Practice Telephone 7608302194
Mailing Telephone 7604993899
Mailing Fax Number 7604993393
Enumeration Date 2005-12-29
Last Update Date 2016-01-20
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WX0106X Registered Nurse
Specialization: Occupational Health
78225 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RN LICENSE 222785 01
DEA MH539772 01

Office Location

Street Address MAGTFTC MCAGCC
BOX 788250
City TWENTYNINE PALMS
State CA
Zip Code 92278-8250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023089570 Lawrence Eldred Heiskell Emergency Medicine Magtftc Mcagcc, Bld 1145 Sturgis Street, Twentynine Palms, CA 92278-8250 2006-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770143711 Michelle Alexandra Engel Student in an Organized Health Care Education/Training Program Twentynine Palms Marine Base, 1591, Apo, AA 92278 2019-06-20
1427544659 Matthew John Thacker Dentist 1591 Griffin Rd., Twentynine Palms, CA 92278 2018-07-11
1922541986 Joshua Gumpert Physician Assistant 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 2016-11-23
1427441112 Joshua Bellavia Military Health Care Provider Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 2015-03-05
1730583063 Erric Leif Apeland Military Health Care Provider 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 2014-10-15
1609286137 Jason Ulaner Chiropractor 1145 Sturgis St, Twentynine Palms, CA 92278 2014-05-06
1497184188 Blake Lyman Physician Assistant 1552 6th Street, Adult Medical Care Clinic, Twentynine Palms, CA 92278 2013-11-04
1013267996 Alonzo Jamelle Shields Military Health Care Provider Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 2012-09-18
1184996134 William John Becker Physician Assistant Mcagcc, Building 1538, Twnetynine Palms, CA 92278 2012-02-07
1962666776 Michael D Vanmanen Orthopaedic Surgery Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 2008-07-11
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Taxonomy Information

Taxonomy Code 163WX0106X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Occupational Health

Taxonomy Definition

Definition to come...

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1174721906 Roseanne Marie Jordan Registered Nurse 5038 Chalet Dr, Oceanside, CA 92057-6927 2007-07-03
1548392574 Marguerite B. Fahrner Registered Nurse 1001 Potrero Ave Fl Bldg.9-2nd, Sfgh - Occupational Health Service, San Francisco, CA 94110-3518 2007-03-13
1437286424 Hubert J. Pena Registered Nurse 1001 Potrero Ave Bldg 9 Rm 200, Sfgh O.h.s., San Francisco, CA 94110-3518 2007-02-27
1396294898 Mayumi Saiki Registered Nurse 11500 Brookshire Ave, Downey, CA 90241-4917 2016-09-25
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1336589720 Martha Lois Greist-joel Registered Nurse 7000 East Ave, Livermore, CA 94550-9698 2013-06-28
1457694549 Janette Elaine Matthess Registered Nurse 200 W Arbor Dr, San Diego, CA 92103-9000 2013-03-27
1306099825 Scott Lee Nickell Registered Nurse 747 52nd St, Oakland, CA 94609-1809 2008-10-28
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Competitor

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City TWENTYNINE PALMS
Zip Code 92278

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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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