Kenneth Lloyd Hurst III

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69048 Issued in CO

Practice address

200 Union Blvd Ste 200
Lakewood, CO 80228-1831

Phone

(855) 515-2850

NPI assigned

Jul 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1497434773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 800",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281831",
            "telephone_number": "855-515-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "KENNETH",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-23-69048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara A Huntington
• Jericha Huntzinger
• Andrea Hurley
• Traci G Hurley, PT
• Jeffery Mark Hurst, DDS
• David L Hurt, MD
• Melissa Paula Hurwitz
• Haley Rachelle Huschka
• Holly Michelle Kowalchuk Huseby, M.S., BCBA
• Kurt William Husum, M.D.

• Behavior Analyst in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.