Active NPI
Chasidy Ruiz
- Behavior Technician
- Sunrise, FL
National Provider Identifier
1841962362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 13650 NW 8TH Street Suite 109
Sunrise, FL 33325 - Phone
- (855) 835-9119
- NPI assigned
- Oct 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
13650 NW 8TH Street Suite 109
Sunrise, FL 33325
Mailing address
9991 NW 7TH St
Plantation, FL 33324
Phone (985) 710-6116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | c.ruiz@inbloomautism.com | Health Information Exchange (HIE) |
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": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1841962362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9991 NW 7TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33324",
"telephone_number": "985-710-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13650 NW 8TH STREET SUITE 109",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33325",
"telephone_number": "855-835-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "CHASIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "c.ruiz@inbloomautism.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "13650 NW 8th Street Suite 109",
"city": "Sunrise",
"state": "FL",
"country_code": "US",
"postal_code": "33325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.