Active NPI
Amy Michelle Crick, CST/CFA
- Surgical Assistant
- Madisonville, KY
National Provider Identifier
1114442852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 800 Hospital Dr
Madisonville, KY 42431-1658 - Phone
- (270) 326-3900
- Fax
- (270) 326-3905
- NPI assigned
- Aug 3, 2017
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
800 Hospital Dr
Madisonville, KY 42431-1658
Mailing address
2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (866) 273-5392
Other practice location 1
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 326-3900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114442852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235176",
"telephone_number": "866-273-5392",
"fax_number": "502-489-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311658",
"telephone_number": "270-326-3900",
"fax_number": "270-326-3905"
}
],
"practiceLocations": [
{
"address_1": "900 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424311644",
"country_code": "US",
"telephone_number": "270-326-3900",
"fax_number": "270-326-3905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRICK",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "CST/CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.