KELLY HURST (NPI# 1023425493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023425493 |
| Entity Type | Individual |
| Full Name | KELLY HURST |
| Practice Address |
25 Deltona Blvd Saint Augustine FL 32086-4203 |
| Practice Telephone | 9047940268 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 07-1582-000-05 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871040 | Kelly Theim Hurst | Psychologist | 5914 Hubbard Dr, Rockville, MD 20852-4823 | 2018-08-16 |
| 1356971824 | Kelly Hurst | Registered Nurse | 23715 Mercantile Rd Ste A203, Beachwood, OH 44122-5918 | 2020-01-23 |
| 1447657945 | Kelly Hurst | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2014-11-26 |
| Street Address |
25 DELTONA BLVD |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32086-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120863 | Elizabeth Ann Hayward | Social Worker | 25 Deltona Blvd, Saint Augustine, FL 32086-4203 | 2018-07-17 |
| 1316469505 | Amber Lynn Giannotta | Counselor | 25 Deltona Blvd, Saint Augustine, FL 32086-4203 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384735 | I Slash Technologies LLC | Public Health or Welfare | 6504 Markstown Dr Apt D, Tampa, FL 33617-9516 | 2020-07-24 |
| 1699393488 | Richard Harry | Public Health or Welfare | 211 W Atwater Ave, Eustis, FL 32726-5423 | 2020-07-08 |
| 1326670357 | Blackstone Home Healthcare LLC | Public Health or Welfare | 101 Century 21 Dr Ste 208, Jacksonville, FL 32216-9293 | 2020-02-07 |
| 1184261125 | Deena Cruce | Public Health or Welfare | 4800 Nw 19th Pl, Gainesville, FL 32605-3434 | 2019-12-10 |
| 1447895925 | Community Health Medical Center LLC | Public Health or Welfare | 3951 N Haverhill Rd Ste 117, West Palm Beach, FL 33417-8349 | 2019-11-08 |
| 1346809290 | Initium Novum LLC | Public Health or Welfare | 1657 N Miami Ave Apt 515, Miami, FL 33136-2010 | 2019-06-12 |
| 1497230528 | Dynamic Medical Management Solutions | Public Health or Welfare | 6100 Johnson St, Hollywood, FL 33024-6030 | 2018-09-25 |
| 1578047692 | Luis Estevez | Public Health or Welfare | 6789 Sw 14th St, Miami, FL 33144-5528 | 2018-09-25 |
| 1205330347 | Christine Denise Mendez | Public Health or Welfare | 6200 Sw 73rd St # E, South Miami, FL 33143-4679 | 2018-03-22 |
| 1437664919 | Eclipse Medical Inc. | Public Health or Welfare | 7811 Coral Way Ste 103, Miami, FL 33155-6540 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on KELLY HURST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.