Amy Sue Middlebrooks, RN, BC, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN - 266658 Issued in OH

Practice address

6720 Park Mill Dr
Dublin, OH 43016-7032

Phone

(614) 745-7129

Fax

(614) 559-9771

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1164769949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 PARK MILL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167032",
            "telephone_number": "614-745-7129",
            "fax_number": "614-559-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 PARK MILL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167032",
            "telephone_number": "614-745-7129",
            "fax_number": "614-559-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOKS",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN, BC, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN - 266658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCM",
            "identifier": "00060949",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN-266658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Michel, PHARMD
• Michele R. Krohn-Harper, DC, Inc
• Dana Kathryn Mickle, PA-C
• Jonathan Thomas Miday
• Javaughn Middlebrook
• Brittany Anne Middleton, LPN
• Midwest Counseling & Diagnostics Oh
• Midwest Eye Consultants Ohio, Inc
• Midwest Eye Consultants Ohio, Inc
• Midwest Lab Services LLC

• Case Management Registered Nurse in Dublin, OH
• Providers in Dublin, OH by specialty
• Case Management Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.