Individual provider Active NPI

Zachary Ryan Hurt, ND, FNP,LAC, RN, BSN

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1942674882
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190496 Issued in VA
Practice address
708 5TH St SW
Roanoke, VA 24016-3912
Phone
(864) 554-7190
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121001024 VA
Registered Nurse 163W00000X 0001310221 VA
Family Nurse Practitioner 363LF0000X 0024190496 VA Primary

Addresses

Primary practice location

708 5TH St SW
Roanoke, VA 24016-3912

Mailing address

708 5TH St SW
Roanoke, VA 24016-3912
Phone (864) 554-7190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 14, 2024 through Aug 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001310221VAMDRegistered Nurse
0121001024VAMDAcupuncturist
0024190496VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1942674882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 5TH ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163912",
            "telephone_number": "864-554-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 5TH ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163912",
            "telephone_number": "864-554-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "ZACHARY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "ND, FNP,LAC, RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001024",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001310221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.