Active NPI
Amy Allison Suhumskie, MA-CCC-A
- Audiologist
- Rockwall, TX
National Provider Identifier
1366435240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80079
- Practice address
- 1320 Summer Lee Dr
Rockwall, TX 75032 - Phone
- (972) 771-5443
- Fax
- (972) 771-5444
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80079 | TX | Primary |
Addresses
Primary practice location
1320 Summer Lee Dr
Rockwall, TX 75032
Mailing address
1320 Summer Lee Dr
Rockwall, TX 75032
Phone (972) 771-5443
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900847004 | Other | OR | BLUE CROSS BLUE SHIELD |
| TXB142013 | Other | TX | INDIVIDUAL PTAN |
| 069067 | Medicaid | OR | |
| P00223552 | Other | OR | RAIL ROAD MEDICARE |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80079 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1366435240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 SUMMER LEE DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "75032",
"telephone_number": "972-771-5443",
"fax_number": "972-771-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 SUMMER LEE DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "75032",
"telephone_number": "972-771-5443",
"fax_number": "972-771-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUHUMSKIE",
"first_name": "AMY",
"middle_name": "ALLISON",
"credential": "MA-CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "900847004",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "TXB142013",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069067",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00223552",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.