Individual provider Active NPI

Emily Crocker

  • Hearing Instrument Specialist
  • Milton, FL
National Provider Identifier
1063234623
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2369 Issued in AL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2369ALMDPhysician 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.

Verify at the official NPI Registry.