Healthcare Provider Details

I. General information

NPI: 1558391862
Provider Name (Legal Business Name): NANCY E HAMMOND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY E DEISHER MD

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3599 RAINBOW BLVD MAIL STOP 2012
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

11750 W 135TH ST STE 42
OVERLAND PARK KS
66221-9395
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6996
  • Fax:
Mailing address:
  • Phone: 913-297-3007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number559
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2024-03668
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number0431888
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0431888
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: