Active NPI
Kimberly Dawn Hurley, DNP
- Family Nurse Practitioner
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A170192
- Practice address
- 1230 E Rusholme St Ste 207
Davenport, IA 52803-2400 - Phone
- (563) 421-8997
- NPI assigned
- Jul 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 122071 | IA | |
| Family Nurse Practitioner | 363LF0000X | A170192 | IA | Primary |
Addresses
Primary practice location
1230 E Rusholme St Ste 207
Davenport, IA 52803-2400
Mailing address
5105 7TH Ave
Moline, IL 61265-2710
Phone (309) 373-0377
Other practice location 1
5105 7th Ave
Moline, IL 61265-2710
Phone (309) 373-0377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hurleyk@direct.genesishealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1236 E Rusholme St
150 Mercyone Genesis
Davenport, IA 52803-2433
Phone (563) 421-3990
4700 E 56TH St
Davenport, IA 52807-2904
Hospital & facility affiliations
- Genesis Medical Center-Davenport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122071 | IA | MD | Family Nurse Practitioner |
| A170192 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1230 E Rusholme St
Ste 207
Davenport, IA 52803
Phone (563) 355-7770
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
619 5th St
Durant, IA 52747
Phone (563) 785-4487
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1851024004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 7TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612652710",
"telephone_number": "309-373-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 E RUSHOLME ST STE 207",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032400",
"telephone_number": "563-421-8997"
}
],
"practiceLocations": [
{
"address_1": "5105 7th Ave",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612652710",
"country_code": "US",
"telephone_number": "309-373-0377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURLEY",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "122071",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A170192",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hurleyk@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1230 E Rusholme St Ste 207",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528032400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.