Active NPI
Amber Vernell Bruce, M.ED, LPATA
- Case Manager/Care Coordinator
- Lexington, KY
National Provider Identifier
1487224069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 271524
- Practice address
- 861 Corporate Dr Ste 101
Lexington, KY 40503-5461 - Phone
- (859) 971-2585
- NPI assigned
- Jun 28, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 271524 | KY | Primary |
| Art Therapist | 221700000X |
Addresses
Primary practice location
861 Corporate Dr Ste 101
Lexington, KY 40503-5461
Mailing address
10100 Elida Rd
Delphos, OH 45833-9056
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271524 | KY | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Alternative for Families and Youth of Kentucky, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Safy of Kentucky - Lexington
- Case Management Agency
- Lexington, KY
- NPI 1265508485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1487224069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 ELIDA RD",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458339056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 CORPORATE DR STE 101",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035461",
"telephone_number": "859-971-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "AMBER",
"middle_name": "VERNELL",
"credential": "M.ED, LPATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": "271524",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.