Active NPI
Kathlynn H Hurt, PA-C
- Medical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1891711651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2650
- Practice address
- 20950 N Tatum Blvd
Suite 350
Phoenix, AZ 85050-4200 - Phone
- (480) 502-6651
- Fax
- (480) 513-8253
- NPI assigned
- Jul 14, 2006
- Last updated
- Nov 1, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2650 | AZ | Primary |
Addresses
Primary practice location
20950 N Tatum Blvd
Suite 350
Phoenix, AZ 85050-4200
Mailing address
2285 Corporate Cir 200
Henderson, NV 89074-7759
Phone (702) 853-7451
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2650 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Dermatology, PLLC | Past | Accepting new patients | |
| J Robert West, M.D., Inc | Past | Accepting new patients |
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.
-
dba Arizona Dermatology
- Dermatology Physician
- Scottsdale, AZ
- NPI 1194792416
-
dba Southern California Dermatology
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446336000000",
"number": "1891711651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 CORPORATE CIR 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747759",
"telephone_number": "702-853-7451",
"fax_number": "949-783-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 N TATUM BLVD",
"address_2": "SUITE 350",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504200",
"telephone_number": "480-502-6651",
"fax_number": "480-513-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURT",
"first_name": "KATHLYNN",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2015-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.