Healthcare Provider Details

I. General information

NPI: 1255257358
Provider Name (Legal Business Name): ZHAMYA HAMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 FOREST COVE DR APT 203
MOUNT PROSPECT IL
60056-5470
US

IV. Provider business mailing address

1707 FOREST COVE DR APT 203
MOUNT PROSPECT IL
60056-5470
US

V. Phone/Fax

Practice location:
  • Phone: 215-983-4237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: