Individual provider Active NPI

Carma J. Erickson Hurt, CNS

  • Adult Health Clinical Nurse Specialist
  • Coos Bay, OR
National Provider Identifier
1114199908
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
200770015 Issued in OR
Practice address
1610 Thompson Rd
Coos Bay, OR 97420-2150
Phone
(541) 269-2986
Fax
(541) 269-7987
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 200743222 OR
Adult Health Clinical Nurse Specialist 364SA2200X 200770015 OR Primary

Addresses

Primary practice location

1610 Thompson Rd
Coos Bay, OR 97420-2150

Mailing address

1620 Thompson Rd
Coos Bay, OR 97420-2150
Phone (541) 269-2986

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
200743222ORMDHospice Registered Nurse
200770015ORMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Services, Inc. Adult Health Past Accepting new patients
South Coast Hospice & Palliative Care Services Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1114199908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-269-2986",
            "fax_number": "541-269-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-269-2986",
            "fax_number": "541-269-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON HURT",
        "first_name": "CARMA",
        "middle_name": "J.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "OR",
            "license": "200743222",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OR",
            "license": "200770015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.