Active NPI
Michelle Hurdle
- Vehicle Modifications Contractor
- Portsmouth, VA
National Provider Identifier
1013573864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- License
- A60685771
- Practice address
- 1651 Darren Cir
Portsmouth, VA 23701-3103 - Phone
- (757) 725-0676
- NPI assigned
- May 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | A60685771 | VA | Primary |
Addresses
Primary practice location
1651 Darren Cir
Portsmouth, VA 23701-3103
Mailing address
1651 Darren Cir
Portsmouth, VA 23701-3103
Phone (757) 725-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A60685771 | Other | VA | NON EMERGENCY TRANSPORTATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60685771 | VA | MD | Vehicle Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1013573864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 DARREN CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237013103",
"telephone_number": "757-725-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 DARREN CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237013103",
"telephone_number": "757-725-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURDLE",
"first_name": "MICHELLE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "171WV0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Vehicle Modifications",
"state": "VA",
"license": "A60685771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON EMERGENCY TRANSPORTATION",
"identifier": "A60685771",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.