Keith Hurst, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

041283029 Issued in IL

Practice address

9 Park PL
Swansea, IL 62226-2967

Phone

(618) 233-5722

Fax

(618) 233-7069

NPI assigned

Nov 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cardiothoracic Surgery Associates, P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Swansea, IL
  • NPI 1073548608
  NPD (past)
• Prairie Cardiovascular Consultants LTD

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1982714218
  NPD (past)

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1962730341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262967",
            "telephone_number": "618-233-5722",
            "fax_number": "618-233-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262967",
            "telephone_number": "618-233-5722",
            "fax_number": "618-233-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041283029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "041283029",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "H62351770285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Andrew House
• Katherine E House, FNP
• Sandra Howard, LPC
• Lisa Marie Huels
• Kesha Humphreys
• Steven Robert Huth, P.T.
• Illinois Mentor
• Illinois Oncology LTD
• Illinois Recovery Center, LLC
• Illinois Retina Surgery LTD

• Registered Nurse First Assistant in Swansea, IL
• Providers in Swansea, IL by specialty
• Registered Nurse First Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.