Organization Active NPI

Community Access to Child Health of Brevard, Inc

Doing business as Space Coast Early Steps

  • Case Management Registered Nurse
  • Rockledge, FL
National Provider Identifier
1962624403
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC
Doing business as
Space Coast Early Steps
Practice address
1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Phone
(321) 634-3688
NPI assigned
May 3, 2007
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Shelli BuckleyNPI 1255456117
Title
Director
Phone
(321) 634-3688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X Primary

Addresses

Primary practice location

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

Mailing address

1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Phone (321) 634-3688

Other names 2

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

National Provider Directory

National Provider Directory
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.

Locations

1802 S Fiske Blvd
Ste 201
Rockledge, FL 32955
Phone (321) 446-2113

2565 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 409-2136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • 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.