Individual provider Active NPI

Kayley Hurd, BCBA LBA

  • Behavior Analyst
  • Chattanooga, TN
National Provider Identifier
1073120747
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1479 Issued in TN
Practice address
625 Morrison Springs Rd
Chattanooga, TN 37415-3401
Phone
(423) 802-1982
Fax
(423) 320-3913
NPI assigned
Sep 28, 2020
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1479 TN Primary

Addresses

Primary practice location

625 Morrison Springs Rd
Chattanooga, TN 37415-3401

Mailing address

625 Morrison Springs Rd
Chattanooga, TN 37415-3401
Phone (423) 802-1982

Other practice location 1

4440 Viking Dr Ste 400
Bossier City, LA 71111-7511
Phone (318) 245-4113

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

LicenseStateTypeSpecialty
1479TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Behavior Services, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1073120747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MORRISON SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153401",
            "telephone_number": "423-802-1982",
            "fax_number": "423-320-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MORRISON SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153401",
            "telephone_number": "423-802-1982",
            "fax_number": "423-320-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Viking Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117511",
            "country_code": "US",
            "telephone_number": "318-245-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "KAYLEY",
        "credential": "BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.