NPIMap

Organization Active NPI

Amy Profesorsky

  • Early Intervention Provider Agency
  • Lawrenceville, GA
National Provider Identifier
1891143871
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AMY PROFESORSKY
Practice address
1420 Whatley Mill Cir
Lawrenceville, GA 30045-2399
Phone
(919) 818-1897
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Amy Renee ProfesorskyNPI 1730619222
Title
Early Intervention Specialist
Phone
(919) 818-1897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1420 Whatley Mill Cir
Lawrenceville, GA 30045-2399

Mailing address

1420 Whatley Mill Cir
Lawrenceville, GA 30045-2399
Phone (919) 818-1897

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1891143871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WHATLEY MILL CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452399",
            "telephone_number": "919-818-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WHATLEY MILL CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452399",
            "telephone_number": "919-818-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY PROFESORSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "PROFESORSKY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EARLY INTERVENTION SPECIALIST",
        "authorized_official_telephone_number": "919-818-1897"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.