Active NPI
Kristen Eberlin Hurley
- Speech-Language Pathologist
- Hardin, IL
National Provider Identifier
1639417389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008177
- Practice address
- 1004 S County Rd
Hardin, IL 62047-9646 - Phone
- (618) 576-9695
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146008177 | IL | Primary |
Addresses
Primary practice location
1004 S County Rd
Hardin, IL 62047-9646
Mailing address
1004 S County Rd
PO Box 175
Hardin, IL 62047-9646
Phone (618) 576-9695
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008177 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1639417389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 S COUNTY RD",
"address_2": "PO BOX 175",
"city": "HARDIN",
"state": "IL",
"postal_code": "620479646",
"telephone_number": "618-576-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 S COUNTY RD",
"city": "HARDIN",
"state": "IL",
"postal_code": "620479646",
"telephone_number": "618-576-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "KRISTEN",
"middle_name": "EBERLIN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hardin, IL
- County of Calhoun (Calhoun County Health Department)
- County of Calhoun (Calhoun County Ambulance Service)
- Evercare of Calhoun LLC
- Fox Family Pharmacy Inc (Fox Family Pharmacy)
- David A Harmon, MD
- Illinois Valley Economic Development Corporation
- Janeth Concepcion Jacinto Zata, MD
- Jersey Community Hospital
- Robert H Parish Jr., D.D.S.
- Robert H. Parish, D.D.S., LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.