Amanda Rose Lee Hurst

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-174204 Issued in AL

Practice address

5810 Wilmington Pike
Centerville, OH 45459-7004

Phone

(937) 701-7069

NPI assigned

Jun 11, 2025

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1902791676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LARIAT DR",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357498702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 WILMINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "937-701-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "AMANDA",
        "middle_name": "ROSE LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-174204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Hughes
• Camille Elizabeth Hughes, PA-C
• Bonnie Hui-Callahan, PHARM.D.
• Russell Kenneth Hulbert, DC
• Martin Hummel, PA
• Jonathan Justin Hutcheson, DO
• Melissa A Hutson, LPTA
• Maureen O Igbinoba, N.P.
• Brent Wilson Imbody, MD
• Integrative Physical Medicine of Dayton

• Nurse Practitioner in Centerville, OH
• Providers in Centerville, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.