Provider Demographics
NPI:1568590792
Name:HAMMETT, TAMRA L (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:L
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6288 SHADOW TREE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-8242
Mailing Address - Country:US
Mailing Address - Phone:781-361-3629
Mailing Address - Fax:
Practice Address - Street 1:6288 SHADOW TREE LN
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-8242
Practice Address - Country:US
Practice Address - Phone:781-361-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6310133V00000X
IL164.004764133V00000X
GALD002939133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered