Active NPI
Tavia Nikasha Bruce, CNA
- Home Health Aide
- West Palm Beach, FL
National Provider Identifier
1831488907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- CNA233580
- Practice address
- 1820 N Congress Ave
Apt E107
West Palm Beach, FL 33401-8202 - Phone
- (561) 201-1409
- NPI assigned
- Mar 29, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | CNA233580 | FL | |
| Attendant Care Provider | 3747A0650X | CNA233580 | FL | |
| Personal Care Attendant | 3747P1801X | CNA233580 | FL | |
| Home Health Aide | 374U00000X | CNA233580 | FL | Primary |
| Homemaker | 376J00000X | CNA233580 | FL | |
| Nurse's Aide | 376K00000X | CNA233580 | FL |
Addresses
Primary practice location
1820 N Congress Ave
Apt E107
West Palm Beach, FL 33401-8202
Mailing address
1820 N Congress Ave
Apt E107
West Palm Beach, FL 33401-8202
Phone (561) 201-1409
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA233580 | FL | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1831488907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 N CONGRESS AVE",
"address_2": "APT E107",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334018202",
"telephone_number": "561-201-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 N CONGRESS AVE",
"address_2": "APT E107",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334018202",
"telephone_number": "561-201-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "TAVIA",
"middle_name": "NIKASHA",
"name_prefix": "Miss",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "CNA233580",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "FL",
"license": "CNA233580",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": "CNA233580",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "CNA233580",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "CNA233580",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA233580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.