Healthcare Provider Details

I. General information

NPI: 1790520823
Provider Name (Legal Business Name): TAYLOR HAMMONDS MPH, MSPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NEW JERSEY AVE SE
WASHINGTON DC
20003-3302
US

IV. Provider business mailing address

1100 NEW JERSEY AVE SE
WASHINGTON DC
20003-3302
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-7900
  • Fax:
Mailing address:
  • Phone: 202-715-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200002341
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: