Individual provider Active NPI

Jenifer Blaxall Buice, LCCE

  • Health Educator
  • Brooklyn, NY
National Provider Identifier
1396068136
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
123 Fort Greene PL Apt 4
Brooklyn, NY 11217-3490
Phone
(917) 543-4736
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Health Educator 174H00000X Primary

Addresses

Primary practice location

123 Fort Greene PL Apt 4
Brooklyn, NY 11217-3490

Mailing address

123 Fort Greene PL Apt 4
Brooklyn, NY 11217-3490
Phone (917) 543-4736

Other practice location 1

39 Plaza St W
5 A
Brooklyn, NY 11217-3906
Phone (917) 543-4736

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

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1396068136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FORT GREENE PL APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173490",
            "telephone_number": "917-543-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FORT GREENE PL APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173490",
            "telephone_number": "917-543-4736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Plaza St W",
            "address_2": "5 A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173906",
            "country_code": "US",
            "telephone_number": "917-543-4736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUICE",
        "first_name": "JENIFER",
        "middle_name": "BLAXALL",
        "credential": "LCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.