Provider Demographics
| NPI: | 1881656676 |
|---|---|
| Name: | HAMER, ERIKA RACHEL (DC) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | ERIKA |
| Middle Name: | RACHEL |
| Last Name: | HAMER |
| Suffix: | |
| Gender: | F |
| Credentials: | DC |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 615 A1A N STE 102 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PONTE VEDRA BEACH |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32082-2748 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 904-273-2691 |
| Mailing Address - Fax: | 904-273-4607 |
| Practice Address - Street 1: | 615 A1A N STE 102 |
| Practice Address - Street 2: | |
| Practice Address - City: | PONTE VEDRA BEACH |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 32082-2748 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 904-273-2691 |
| Practice Address - Fax: | 904-273-4607 |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2006-04-05 |
| Last Update Date: | 2025-11-05 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| SC | 2765 | 111N00000X |
| GA | CHIR007355 | 111N00000X |
| FL | CH8499 | 111N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 016192500 | Medicaid | |
| FL | 88720 | Other | BLUE CROSS BLUE SHIELD |
| FL | P00222351 | Other | RAILROAD MEDICARE |
| FL | 381845400 | Medicaid | |
| FL | 88720A | Medicare PIN |