Amy Sue Crock, M.A. CCC-SLP

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

SP 6285 Issued in OH

Practice address

11955 Norfield Rd
New Concord, OH 43762-9755

Phone

(440) 479-2524

NPI assigned

May 31, 2007

Last updated

Jul 9, 2014By 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

Other names 1

• Amy Sue Dusenberry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1942401229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11955 NORFIELD RD",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437629755",
            "telephone_number": "440-479-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11955 NORFIELD RD",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437629755",
            "telephone_number": "440-479-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCK",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OH",
            "license": "SP 6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DUSENBERRY",
            "middle_name": "SUE",
            "credential": "M.A. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Body Mechanic Physical Therapy
• Caralee Barr
• Care Equip, LLC (Northside New Concord Pharmacy)
• Caitlyn Brianne Christman, DC
• City of New Concord
• Carla Ann Dickson
• Lauren Dolick
• East Muskingum Local School District
• Lisa M Finck, MA,LPCC
• Katherine L Finley

• Rural Acute Care Hospital in New Concord, OH
• Providers in New Concord, OH by specialty
• Rural Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.