Active NPI
Amber Case
- Speech-Language Pathologist
- Delmar, NY
National Provider Identifier
1992336762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 030613
- Practice address
- 503 Derzee CT
Delmar, NY 12054-9625 - Phone
- (518) 708-3001
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 030613 | NY | Primary |
Addresses
Primary practice location
503 Derzee CT
Delmar, NY 12054-9625
Mailing address
503 Derzee CT
Delmar, NY 12054-9625
Other practice location 1
999 County Route 351
Rensselaerville, NY 12147-2502
Phone (518) 708-3001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030613 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1992336762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 DERZEE CT",
"city": "DELMAR",
"state": "NY",
"postal_code": "120549625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 DERZEE CT",
"city": "DELMAR",
"state": "NY",
"postal_code": "120549625",
"telephone_number": "518-708-3001"
}
],
"practiceLocations": [
{
"address_1": "999 County Route 351",
"address_purpose": "LOCATION",
"city": "Rensselaerville",
"state": "NY",
"postal_code": "121472502",
"country_code": "US",
"telephone_number": "518-708-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASE",
"first_name": "AMBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "030613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.