Alicia Ann Crusse, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008654 Issued in GA

Practice address

3855 Shallowford Rd
Suite 510
Marietta, GA 30062-4197

Phone

(678) 472-1993

NPI assigned

Apr 30, 2010

Last updated

Jan 28, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body Core Neuropathy & Spine Group

  • Rehabilitation Chiropractor
  • Marietta, GA
  • NPI 1992048136
  NPD Authorized official

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1609193598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD",
            "address_2": "SUITE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "678-472-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD",
            "address_2": "SUITE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "678-472-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSSE",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Miriam Rogers Crumbley, RN, CPNP
• Beth K Crump, MS OTRL
• Naa Jamah Crump, DC
• Terry A Crump, PH.D.
• Teryl Crump
• Kennedy Crutchfield
• Elaine Cruz-Abril, DC
• Kimberly Diane Cruz
• Laura Cruz
• Windy O Cruz, OTR/L, OTD, SCLV

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.