Provider Demographics
NPI:1912882929
Name:HAMM, RACHEL (RN, BSN, NTP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HAMM
Suffix:
Gender:F
Credentials:RN, BSN, NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SIMS AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2622
Mailing Address - Country:US
Mailing Address - Phone:205-835-0923
Mailing Address - Fax:
Practice Address - Street 1:905 SIMS AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2622
Practice Address - Country:US
Practice Address - Phone:205-835-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-177186163WN1003X
AL171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No171400000XOther Service ProvidersHealth & Wellness Coach