Active NPI
Kerrisha Hurd
- Infusion Therapy Registered Nurse
- White Plains, NY
National Provider Identifier
1780455840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- 568545
- Practice address
- 12 Water St
White Plains, NY 10601-1401 - Phone
- (516) 236-0569
- NPI assigned
- Jan 9, 2024
- 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 |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | 568545 | NY | Primary |
Addresses
Primary practice location
12 Water St
White Plains, NY 10601-1401
Mailing address
2299 Hoffman Ave
Elmont, NY 11003-2823
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 |
|---|---|---|---|
| 568545 | NY | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1780455840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2299 HOFFMAN AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WATER ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106011401",
"telephone_number": "516-236-0569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "KERRISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": "NY",
"license": "568545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.