KIMBERLY E BUCKLEY (NPI# 1073148649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073148649 |
| Entity Type | Individual |
| Full Name | KIMBERLY E BUCKLEY |
| Credential | RN |
| Practice Address |
15600 19 Mile Rd Clinton Twp MI 48038-3502 |
| Practice Telephone | 5862638688 |
| Mailing Telephone | 5862638688 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
4704253097 | MI | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578108247 | Kimberly Buckley | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2019-11-16 |
| 1891922977 | Kimberly Buckley | Nurse Practitioner | 110 S Salem Dr, Bardstown, KY 40004-1761 | 2009-06-16 |
| 1265615504 | Kimberly M Buckley | Nurse Practitioner | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | 2007-12-10 |
| 1144258252 | Kimberly Jean Buckley | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2006-06-29 |
| Street Address |
15600 19 MILE RD |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299475 | Rachael Lyn Ferguson | Social Worker | 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | 2019-11-13 |
| 1669016937 | Angela Lee | Behavior Technician | 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | 2019-10-30 |
| 1225670060 | Mark Fouad-meshriky | Behavior Technician | 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | 2019-10-14 |
| 1902456239 | Ashley Schutt | Technician, Other | 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | 2019-09-18 |
| 1073163614 | Selina Patto | Behavior Technician | 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | 2019-09-16 |
| 1033762463 | Sania Farooq | Behavior Technician | 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | 2019-07-24 |
| 1841786290 | De'ambra Williams | Behavior Technician | 15600 19 Mile Rd, Clinton Twp, MI 48038 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602531 | Jackie Lavete Lucas | Registered Nurse | 19270 Red Maple Ct, Southfield, MI 48076-1006 | 2019-07-26 |
| 1194385930 | Cheryl L Schneider | Registered Nurse | 1200 Ransom St Ste 201, Muskegon, MI 49442-3344 | 2019-06-14 |
| 1891354502 | Marcia A Regalado | Registered Nurse | 11208 Kennebec Ave, Allen Park, MI 48101-1008 | 2019-06-07 |
| 1184289019 | Lena Faling | Registered Nurse | 3200 Horton Rd, Jackson, MI 49203-5549 | 2019-05-06 |
| 1558869180 | Aster Care LLC | Registered Nurse | 1015 Henrietta St, Birmingham, MI 48009-4112 | 2018-01-29 |
| 1295263929 | Karen Ann Zambiasi | Registered Nurse | 2425 S Linden Rd Ste D, Flint, MI 48532-5474 | 2017-05-25 |
| 1891232526 | Maureen Patricia Heathman | Registered Nurse | 470 E Summit St, Milford, MI 48381-1668 | 2017-01-19 |
| 1164897880 | Janet Sims | Registered Nurse | 8291 Frederick St, Salem, MI 48175 | 2015-12-07 |
| 1881085017 | Gina Cummings | Registered Nurse | 103 W Us2, Wakefield, MI 49968 | 2015-02-10 |
| 1376932772 | Sussie Chenault X | Registered Nurse | 25941 Twin Oak Drive, Taylor, MI 48180 | 2015-01-22 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on KIMBERLY E BUCKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.