NPIMap

Organization Active NPI

Jennifer Secor

  • Case Management Agency
  • Rockledge, FL
National Provider Identifier
1689009540
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JENNIFER SECOR
Practice address
1845 Cogswell St
Rockledge, FL 32955-3210
Phone
(321) 632-8610
Fax
(321) 639-5087
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BREVARD ACHIEVEMENT CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Ms. Jennifer Secor, BACHELORS HUMAN SERV
Title
Case Mananagement Supervisor
Phone
(321) 632-8610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1845 Cogswell St
Rockledge, FL 32955-3210

Mailing address

1845 Cogswell St
Rockledge, FL 32955-3210
Phone (321) 632-8610

National Provider Directory

National Provider Directory
Tax ID family
Brevard Achievement Center Inc4 organizations share this tax ID, including this one
Part of
Brevard Achievement Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1689009540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 COGSWELL ST",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553210",
            "telephone_number": "321-632-8610",
            "fax_number": "321-639-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 COGSWELL ST",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553210",
            "telephone_number": "321-632-8610",
            "fax_number": "321-639-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SECOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREVARD ACHIEVEMENT CENTER INC",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "SECOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CASE MANANAGEMENT SUPERVISOR",
        "authorized_official_telephone_number": "321-632-8610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BACHELORS HUMAN SERV"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.