Individual provider Active NPI

Brittney Bouie

  • Driver
  • Orlando, FL
National Provider Identifier
1285419101
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
6401 Time Square Ave
Orlando, FL 32835-7594
Phone
(407) 304-9787
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X FL Primary

Addresses

Primary practice location

6401 Time Square Ave
Orlando, FL 32835-7594

Mailing address

3775 Millenia Blvd Apt 302
Orlando, FL 32839-6473
Phone (407) 304-9787

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Express Transportation LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

6401 Time Square Ave
Orlando, FL 32835
Phone (407) 304-9787

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1285419101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 MILLENIA BLVD APT 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396473",
            "telephone_number": "407-304-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 TIME SQUARE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357594",
            "telephone_number": "407-304-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUIE",
        "first_name": "BRITTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.