Community Access to Child Health of Brevard, Inc

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Legal business name

COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC

Practice address

1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007

Phone

(321) 634-3688

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Shelli Buckley

Title

Director

Phone

(321) 634-3688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Space Coast Early Steps Doing business as
• CATCH of Brevard, Inc. Other name

Tax ID family

Community Access to Child Health of Brevard Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Community Access to Child Health of Brevard, Inc

  • Early Intervention Provider Agency
  • Rockledge, FL
  • NPI 1679228027
  NPD tax ID
• Community Access to Child Health of Brevard, Inc.

  • Case Management Agency
  • Rockledge, FL
  • NPI 1053533596
  NPD tax ID
• Community Access to Child Health of Brevard, Inc.

  • Developmental Disabilities Clinic/Center
  • Rockledge, FL
  • NPI 1326260860
  NPD tax ID
• Community Access to Child Health of Brevard, Inc.

  • Primary Care Clinic/Center
  • Viera, FL
  • NPI 1851439608
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1962624403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S FISKE BLVD STE 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553007",
            "telephone_number": "321-634-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S FISKE BLVD STE 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553007",
            "telephone_number": "321-634-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-634-3688"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258933",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space Coast Early Steps",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CATCH of Brevard, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CATCH of Brevard, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Registered Nurse in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.