Active NPI
Jennifer Marie Pusins, CSCD, CCC-SLP, BCS-S
- Speech-Language Pathologist
- Davie, FL
National Provider Identifier
1295075265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 14201
- Practice address
- 6100 Griffin Rd
Davie, FL 33314-4416 - Phone
- (561) 212-5725
- NPI assigned
- Feb 27, 2013
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA 14201 | FL | Primary |
Addresses
Primary practice location
6100 Griffin Rd
Davie, FL 33314-4416
Mailing address
PO Box 290370
#109
Ft Lauderdale, FL 33329-0370
Phone (954) 262-4346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030508500001 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 14201 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1295075265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290370",
"address_2": "#109",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333290370",
"telephone_number": "954-262-4346",
"fax_number": "954-262-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 GRIFFIN RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144416",
"telephone_number": "561-212-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUSINS",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "CSCD, CCC-SLP, BCS-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 14201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030508500001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.