Individual provider Active NPI

Kerry Kathleen Hurley, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Whitmore Lake, MI
National Provider Identifier
1376732537
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146009092 Issued in IL
Practice address
11930 Whitmore Lake Rd.
Suite I-M
Whitmore Lake, MI 48189
Phone
(734) 449-4649
Fax
(734) 449-4669
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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 146009092 IL Primary

Addresses

Primary practice location

11930 Whitmore Lake Rd.
Suite I-M
Whitmore Lake, MI 48189

Mailing address

11930 Whitmore Lake Rd.
Suite I-M
Whitmore Lake, MI 48189
Phone (630) 220-8345

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
Master of Science

State licenses

LicenseStateTypeSpecialty
146009092ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1376732537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 WHITMORE LAKE RD.",
            "address_2": "SUITE I-M",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "48189",
            "telephone_number": "630-220-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 WHITMORE LAKE RD.",
            "address_2": "SUITE I-M",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "48189",
            "telephone_number": "734-449-4649",
            "fax_number": "734-449-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "KERRY",
        "middle_name": "KATHLEEN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitmore Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.