Active NPI
Jennifer Kristie Bruce, MS SLP
- Speech-Language Pathologist
- Plantation, FL
National Provider Identifier
1275617045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ 3793
- Practice address
- 447 NW 73Rd Ave
Plantation, FL 33317-1608 - Phone
- (954) 583-7383
- Fax
- (954) 583-7388
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ 3793 | FL | Primary |
Addresses
Primary practice location
447 NW 73Rd Ave
Plantation, FL 33317-1608
Mailing address
8773 Forest Hills Dr
Coral Springs, FL 33065-5475
Phone (954) 583-7383
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ 3793 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275617045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8773 FOREST HILLS DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655475",
"telephone_number": "954-583-7383",
"fax_number": "954-583-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 NW 73RD AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171608",
"telephone_number": "954-583-7383",
"fax_number": "954-583-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "JENNIFER",
"middle_name": "KRISTIE",
"credential": "MS SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ 3793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.