Individual provider Active NPI

Carolyn Kaye Hurst, M.A. ED. CCC-SLP

  • Speech-Language Pathologist
  • Surprise, AZ
National Provider Identifier
1265758866
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
AZ SLP6094Q Issued in AZ
Practice address
15272 W Gabriela Dr
Surprise, AZ 85379-6324
Phone
(623) 523-8500
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X AZ SLP6094Q AZ Primary

Addresses

Primary practice location

15272 W Gabriela Dr
Surprise, AZ 85379-6324

Mailing address

2113 Hot Oak Ridge St
Las Vegas, NV 89134-5519
Phone (702) 395-7818

Other identifiers 1

IdentifierTypeStateIssuer
235Z00000XMedicaidAZ

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AZ SLP6094QAZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1265758866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 HOT OAK RIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891345519",
            "telephone_number": "702-395-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15272 W GABRIELA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796324",
            "telephone_number": "623-523-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "CAROLYN",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "M.A. ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "AZ SLP6094Q",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.