Active NPI
Jenifer Blaxall Buice, LCCE
- Health Educator
- Brooklyn, NY
National Provider Identifier
1396068136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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
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 |
|---|---|---|---|---|
| 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.