Individual provider Active NPI

Kathleen Brooks Hurley, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Rockville, MD
National Provider Identifier
1063502466
Registry record updated Feb 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R097897 Issued in MD
Practice address
4509 Hornbeam Dr
Rockville, MD 20853-1416
Phone
(301) 461-0953
Fax
(301) 924-0131
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R097897 MD Primary

Addresses

Primary practice location

4509 Hornbeam Dr
Rockville, MD 20853-1416

Mailing address

4509 Hornbeam Dr
Rockville, MD 20853-1416
Phone (301) 461-0953

Other identifiers 1

IdentifierTypeStateIssuer
PR19KBOtherMDCAREFIRST- RNCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R097897MDMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: kathleen.hurleyaprnpmh.p1@direct.mcg-hhs.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203120000000",
    "number": "1063502466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 HORNBEAM DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531416",
            "telephone_number": "301-461-0953",
            "fax_number": "301-924-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 HORNBEAM DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531416",
            "telephone_number": "301-461-0953",
            "fax_number": "301-924-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "KATHLEEN",
        "middle_name": "BROOKS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R097897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST- RNCS",
            "identifier": "PR19KB",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.