Organization Active NPI

Kathleen M. Hurd MD PS

  • Family Medicine Physician
  • Olympia, WA
National Provider Identifier
1457537557
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00030063 Issued in WA
Legal business name
KATHLEEN M. HURD MD PS
Practice address
520 Lilly Rd NE
Building 3
Olympia, WA 98506-5102
Phone
(360) 455-4500
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Kathleen M. Hurd, M.D.
Title
Owner
Phone
(360) 455-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MD00030063 WA Primary

Addresses

Primary practice location

520 Lilly Rd NE
Building 3
Olympia, WA 98506-5102

Mailing address

520 Lilly Rd NE
Building 3
Olympia, WA 98506-5102
Phone (360) 455-4500

Other identifiers 1

IdentifierTypeStateIssuer
7096258MedicaidWA

Other names 1

  • Woodard Creek Family Health Doing business as

National Provider Directory

National Provider Directory

Locations

3425 Ensign Rd NE
Ste 250A
Olympia, WA 98506
Phone (360) 455-4500

520 Lilly Rd NE
Ste 3
Olympia, WA 98506
Phone (360) 455-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1457537557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LILLY RD NE",
            "address_2": "BUILDING 3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065102",
            "telephone_number": "360-455-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LILLY RD NE",
            "address_2": "BUILDING 3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065102",
            "telephone_number": "360-455-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M. HURD MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-455-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00030063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7096258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodard Creek Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.