Individual provider Active NPI

Annette Elizabeth Hurd, D.C.

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1194483420
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021031355 Issued in MO
Practice address
2004 NW South Outer Rd
Blue Springs, MO 64015-6423
Phone
(816) 427-5244
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2021031355 MO
Pediatric Chiropractor 111NP0017X 2021031355 MO
Radiology Chiropractor 111NR0200X 2021031355 MO
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2021031355 MO Primary

Addresses

Primary practice location

2004 NW South Outer Rd
Blue Springs, MO 64015-6423

Mailing address

2004 NW South Outer Rd
Blue Springs, MO 64015-6423
Phone (816) 427-5244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119003123 MO Practitioner - Chiropractic 1759773906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2004 NW S Outer Rd
Blue Springs, MO 64015-6423
Phone (816) 427-5244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021031355MOMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Life Chiropractic, LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients

Locations

1741 NW Burdett Xing
Blue Springs, MO 64015
Phone (816) 427-5244

2004 NW South Outer Rd
Blue Springs, MO 64015
Phone (816) 427-5244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1194483420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156423",
            "telephone_number": "816-427-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156423",
            "telephone_number": "816-427-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "ANNETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MO",
            "license": "2021031355",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2021031355",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MO",
            "license": "2021031355",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021031355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.