Active NPI
Emily Crocker
- Hearing Instrument Specialist
- Milton, FL
National Provider Identifier
1063234623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2369
- Practice address
- 5941 Berryhill Road Ste K
Milton, FL 32570 - Phone
- (850) 564-5820
- Fax
- (850) 564-4507
- NPI assigned
- Oct 25, 2024
- Last updated
- Oct 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2369 | AL | Primary |
Addresses
Primary practice location
5941 Berryhill Road Ste K
Milton, FL 32570
Mailing address
2670 S Ferdon Blvd Ste 105
Crestview, FL 32536-5481
Phone (850) 203-2877
Other practice location 1
401 E Church St Ste B
Atmore, AL 36502
Phone (850) 564-5820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2369 | AL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1063234623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 S FERDON BLVD STE 105",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325365481",
"telephone_number": "850-203-2877",
"fax_number": "850-669-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5941 BERRYHILL ROAD STE K",
"city": "MILTON",
"state": "FL",
"postal_code": "32570",
"telephone_number": "850-564-5820",
"fax_number": "850-564-4507"
}
],
"practiceLocations": [
{
"address_1": "401 E Church St Ste B",
"address_purpose": "LOCATION",
"city": "Atmore",
"state": "AL",
"postal_code": "36502",
"country_code": "US",
"telephone_number": "850-564-5820",
"fax_number": "850-564-4507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROCKER",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "2369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.