Amy Elizabeth Rust, PA-C, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6527 Issued in AZ

Practice address

111 W Monroe St Ste 300
Phoenix, AZ 85003-1718

Phone

(800) 834-2420

NPI assigned

Jul 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Elizabeth Calahan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1346692290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MONROE ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031718",
            "telephone_number": "800-834-2420",
            "fax_number": "602-253-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MONROE ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031718",
            "telephone_number": "800-834-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1040",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CALAHAN",
            "middle_name": "ELIZABETH",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet M Russenberger, OT
• Daniela Cotrim Russi, M.D.
• Aubriana K Russo, RBT
• Cara Anne Russo, PHARMD, RPH
• Susan Marie Russo, BSN, RNC
• Sabrina Atour Rustam
• Rusticas Home Care LLC
• Joseph Michael Rustick, MD
• Rustin W. Jones, DDS, PLLC
• Kayle Rutar, M.S.,CF-SLP

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.