Jennifer Nicole Cruise, MS, COMS

Primary specialty

Orientation and Mobility Training Rehabilitation CounselorTaxonomy code 225CX0006X

License

5962 Issued in FL

Practice address

355 Cedar Springs Rd
Spartanburg, SC 29302-4628

Phone

(864) 494-6354

Fax

(864) 577-7621

NPI assigned

Feb 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• South Carolina School for the Deaf and the Blind

  • Local Education Agency (LEA)
  • Spartanburg, SC
  • NPI 1992753578
  NPD (past)

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1962742858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "864-577-7500",
            "fax_number": "864-577-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "864-494-6354",
            "fax_number": "864-577-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUISE",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MS, COMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "FL",
            "license": "5962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Walker Crosby, MMFT
• Shirley A Crosby, BA
• Sherea Kamia Cross, MA, CCC-SLP
• Danny Keith Crout, DMD MS
• Carlen Leaphart Crowe, MSOTR/L
• Ibolya Csernak
• Jennifer Nelms Cubitt, RN
• Javier Cuevas Santos Molnar
• Shanedra Cyntrithia Culler, RBT
• Robert Ben Culp III, D.M.D.

• All providers in Spartanburg, SC
• Orientation and Mobility Training Rehabilitation Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.