Provider Demographics
NPI:1306127295
Name:HAMPTON, CATHY JEAN (NP)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:JEAN
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE CATHOLIC UNIVERSITY STUDENT CTR
Mailing Address - Street 2:620 MICHIGAN AVE, NE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20064-0001
Mailing Address - Country:US
Mailing Address - Phone:202-319-5744
Mailing Address - Fax:
Practice Address - Street 1:THE CATHOLIC UNIVERSITY STUDENT CTR
Practice Address - Street 2:620 MICHIGAN AVE, NE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20064-0001
Practice Address - Country:US
Practice Address - Phone:202-319-5744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1012134363LC0200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC054512400Medicaid
DC054512400Medicaid
DC238282YEKWMedicare UPIN