Individual provider Active NPI

Robert Kenneth Hurst, NP-C

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1639488950
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6154039-4405 Issued in UT
Practice address
617 E Riverside Dr Ste 302
St George, UT 84790-8722
Phone
(435) 652-6024
Fax
(435) 652-6025
NPI assigned
Oct 4, 2010
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6154039-4405 UT Primary

Addresses

Primary practice location

617 E Riverside Dr Ste 302
St George, UT 84790-8722

Mailing address

230 N 1680 E Ste I1
St George, UT 84790-2586
Phone (435) 652-6024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001224 UT Practitioner - Nurse Practitioner 3274727797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Utah School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsman West Spine LLCGroup PAC ID 0345476560, 7 clinicians

Practice addresses (Care Compare)

617 E Riverside Dr
Suite 302
St George, UT 84790-8722
Phone (435) 652-6024

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsman West Spine LLC Orthopaedic Surgery CurrentSince Nov 8, 2014 Accepting new patients
Mountainstar Medical Group Neurosurgery - St Marks LLC CurrentSince Feb 1, 2013 Accepting new patients

Locations

1200 E 3900 S
Ste 4E
Salt Lake Cty, UT 84124
Phone (801) 261-8507

1250 E 3900 S
Ste 100
Salt Lake Cty, UT 84124
Phone (801) 262-0358

1490 E Foremaster Dr
Ste 210
St George, UT 84790
Phone (435) 628-9200

230 N 1680 E
Ste I1
St George, UT 84790
Phone (435) 291-7258

2891 E Mall Dr
Ste 105
St George, UT 84790

617 E Riverside Dr
Ste 302
St George, UT 84790
Phone (435) 652-6024

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1639488950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE I1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902586",
            "telephone_number": "435-652-6024",
            "fax_number": "435-652-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908722",
            "telephone_number": "435-652-6024",
            "fax_number": "435-652-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "ROBERT",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6154039-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.