Individual provider Active NPI

Betty S. Bruce, FNP-BC

  • Family Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1750708335
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014003279 Issued in MO
Practice address
3015 Connecticut Ave
Joplin, MO 64804-3035
Phone
(417) 621-6634
Fax
(417) 634-3001
NPI assigned
Mar 21, 2014
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2014003279 MO
Primary Care Nurse Practitioner 363LP2300X 2014113279 MO
Family Nurse Practitioner 363LF0000X 2014003279 MO Primary

Addresses

Primary practice location

3015 Connecticut Ave
Joplin, MO 64804-3035

Mailing address

2508 S. Wind Song Ave.
Springfield, MO 65613-9141
Phone (417) 861-8261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Betty.bruce@va.gov Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104002220 MO Order and Referring Only - Nurse Practitioner 0941432314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014003279MOMDFamily Nurse Practitioner
2014113279MOMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: betty.bruce@cernerdirect.coxhealth.com
  • Direct secure messaging: betty.bruce@va.gov

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750708335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 S. WIND SONG AVE.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "656139141",
            "telephone_number": "417-861-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 CONNECTICUT AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043035",
            "telephone_number": "417-621-6634",
            "fax_number": "417-634-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "BETTY",
        "middle_name": "S.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014003279",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2014113279",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014003279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betty.bruce@va.gov",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information System CPRS",
            "address_1": "3015 Connecticut Ave",
            "city": "Joplin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648043035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.