Candace Hurst, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704247696 Issued in MI

Practice address

21701 W 11 Mile Rd Ste 5
Southfield, MI 48076-3713

Phone

(248) 757-7587

NPI assigned

Sep 6, 2018

Last updated

Dec 3, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Laz Medical Group PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1053310128
  Medicare reassignment NPD
• RTS Practitioner Staffing Service LLC

  • Health Service Clinic/Center
  • Lathrup Village, MI
  • NPI 1396366019
  Medicare reassignment NPD
• RTS and Associates Practitioner Staffing Services LLC.

  dba RTS and Associates

  • Adult Medicine Physician
  • Southfield, MI
  • NPI 1063045839
  Authorized official Same address or phone
• Recovery House LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Detroit, MI
  • NPI 1528747656
  NPD

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670025600000",
    "number": "1962984823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 5",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "248-757-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 5",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "248-757-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "CANDACE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-12-03",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "814390",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "814390",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704247696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Maple Health Services Inc
• Khalaia Sada Hunter-Kimble
• Cynthia Lynn Hunter, CASE MANAGER
• Harry Hunter Jr., M.S.W.
• Patrick Michael Hurley, M.D.
• Isabella Hurt
• Rebecca Lynn Hurwitz, MSW
• Zahera Husaini, N.P.
• Khadim Hussain, PT
• Riaz Hussain

• Primary Care Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.