Individual provider Active NPI

Jennyfer Jennyfer Gallumette

  • Behavior Technician
  • Pompano Beach, FL
National Provider Identifier
1972210425
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
331 NE 26TH CT
Pompano Beach, FL 33064-4545
Phone
(323) 273-6969
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

331 NE 26TH CT
Pompano Beach, FL 33064-4545

Mailing address

331 NE 26TH CT
Pompano Beach, FL 33064-4545
Phone (323) 273-6969

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j.gallumette@inbloomautism.com

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1972210425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NE 26TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644545",
            "telephone_number": "323-273-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NE 26TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644545",
            "telephone_number": "323-273-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUMETTE",
        "first_name": "JENNYFER",
        "middle_name": "JENNYFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "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": "j.gallumette@inbloomautism.com",
            "affiliation": "N",
            "address_1": "331 NE 26th Ct",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330644545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.