Gay Elizabeth Hurlburt, OWNER/OPERATOR

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0012349 Issued in WI

Practice address

1227 E Prospect St
Durand, WI 54736-1514

Phone

(715) 672-4049

Fax

(715) 672-4247

NPI assigned

Sep 29, 2019

Last updated

Sep 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1891346029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E PROSPECT ST",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361514",
            "telephone_number": "715-672-4049",
            "fax_number": "715-672-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E PROSPECT ST",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361514",
            "telephone_number": "715-672-4049",
            "fax_number": "715-672-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBURT",
        "first_name": "GAY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OWNER/OPERATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "0012349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Durand, WI
• Providers in Durand, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.