Individual provider Active NPI

Brittney Nisbett, SLP-A

  • Speech-Language Assistant
  • Boca Raton, FL
National Provider Identifier
1053019778
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI6119 Issued in FL
Practice address
1825 NW Corporate Blvd Ste 110
Boca Raton, FL 33431-8554
Phone
(954) 869-7202
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI6119 FL Primary

Addresses

Primary practice location

1825 NW Corporate Blvd Ste 110
Boca Raton, FL 33431-8554

Mailing address

7780 NW 46TH St
Lauderhill, FL 33351-5712
Phone (754) 423-3730

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

LicenseStateTypeSpecialty
SI6119FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1053019778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 NW 46TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515712",
            "telephone_number": "754-423-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NW CORPORATE BLVD STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318554",
            "telephone_number": "954-869-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISBETT",
        "first_name": "BRITTNEY",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.