Physician Compare National (NPI:1154591055)

HEALTHCARE PROVIDER: KRISTAL LAY HURST

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154591055
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365863446
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200806000631
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HURST
	Individual professional last name
Provider First Name	KRISTAL
	Individual professional first name
Provider Middle Name	LAY
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DANIEL BOONE FAMILY HEALTHCARE, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1759457054
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	215 TREUHAFT BLVD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	BARBOURVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	409067361
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6065450400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y