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KATRINA LATICHE' HAMMOND-JACK MD, MS
NPI 1225535065
Pediatrics - Pediatric Emergency Medicine in Washington, DC

Active since April 09, 2018PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Apr 16, 2024, Apr 9, 2018 (3 updates tracked since 2018).

About Katrina Latiche' Hammond-jack Md, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA LATICHE' HAMMOND-JACK MD, MS (NPI 1225535065) is an individual pediatric emergency medicine provider in Washington, District Of Columbia, licensed in Maryland (D0100028) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1225535065
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameKATRINA LATICHE' HAMMOND-JACKCredential: MD, MS
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Phone(202) 476-5000
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1225535065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MD · D0100028
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD049320 (DC), D0100028 (MD)
111 MICHIGAN AVE NW, Washington, DC 20010
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Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Latiche' Hammond-jack Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Hammond-jack's NPI number?

The NPI number for Katrina Hammond-jack is 1225535065. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Katrina Hammond-jack located?

Katrina Hammond-jack practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Katrina Hammond-jack's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Katrina Hammond-jack enrolled in Medicare?

Yes. Katrina Hammond-jack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Hammond-jack was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.