Individual provider Active NPI

Nasim Hanif Hurd, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1801632567
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP.AP.70072507-NP Issued in WA
Practice address
1330 Rockefeller Ave Ste 140
Everett, WA 98201-1682
Phone
(425) 261-4210
Fax
(425) 261-4211
NPI assigned
Jul 2, 2024
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP.AP.70072507-NP WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405951 NY

Addresses

Primary practice location

1330 Rockefeller Ave Ste 140
Everett, WA 98201-1682

Mailing address

1330 Rockefeller Ave Ste 140
Everett, WA 98201-1682
Phone (425) 261-4210

Other practice location 1

1081 Long Pond Rd Ste 140
Rochester, NY 14626-5002
Phone (585) 371-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251111001566 NY Practitioner - Nurse Practitioner 6305337023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1081 Long Pond Rd
Suite 100
Rochester, NY 14626-5002

1081 Long Pond Rd
Suite 100
Rochester, NY 14626-5099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
405951NYMDPsychiatric/Mental Health Nurse Practitioner
ARNP.AP.70072507-NPWAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gavia Lifecare Center, LLC CurrentSince Aug 24, 2025 Accepting new patients

Locations

1081 Long Pond Rd
Ste 140
Rochester, NY 14626
Phone (585) 210-0994

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1801632567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE STE 140",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011682",
            "telephone_number": "425-261-4210",
            "fax_number": "425-261-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE STE 140",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011682",
            "telephone_number": "425-261-4210",
            "fax_number": "425-261-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Long Pond Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265002",
            "country_code": "US",
            "telephone_number": "585-371-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "NASIM",
        "middle_name": "HANIF",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP.AP.70072507-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.