Annelyse Cruze, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14349 Issued in FL

Practice address

145 Hilden Rd Ste 113
Ponte Vedra Beach, FL 32081-8401

Phone

(904) 652-5408

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlantic Speech Therapy

  • Speech-Language Pathologist
  • Ponte Vedra, FL
  • NPI 1053855452
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1861039877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 WINDWARD WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD STE 113",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320818401",
            "telephone_number": "904-652-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZE",
        "first_name": "ANNELYSE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "14349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Health Services, Inc. (CORA Physical Therapy - Sawgrass)
• Brenda Kay Corbin, ARNP/ FNP-BC
• Kristina Crenshaw, LMHC
• Joseph L. Crogan
• Ariana Marie Cruz
• Madison Culbertson, BCBA
• Geirsa Culiqi
• Carrie Lyn Cummings, DNP
• Eric Curkan, M.S. CCC-SLP
• Kelli Elder Cutright, LCSW

• Speech-Language Pathologist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.