CARISSA BUCKEY


Address: 20414 N 27th Ave Ste 300, Phoenix, AZ 85027-3254
Phone: 6238796000

CARISSA BUCKEY (NPI# 1114485067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114485067
Entity Type Individual
Full Name CARISSA BUCKEY
Credential NP
Practice Address 20414 N 27th Ave Ste 300
Phoenix
AZ 85027-3254
Practice Telephone 6238796000
Enumeration Date 2019-03-11
Last Update Date 2019-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP11492 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
33423 N 32nd Ave Ste 2200, Phoenix, AZ 850858874 6238796000 6235162000
42104 N Venture Dr Ste D118, Anthem, AZ 850863837 6238796000 6235162000

Office Location

Street Address 20414 N 27TH AVE STE 300
City PHOENIX
State AZ
Zip Code 85027-3254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154375343 Southwest Desert Cardiology PC Specialist 20414 N 27th Ave Ste 300, Phoenix, AZ 85027-3254 2006-05-20
1609330646 Cheryl Ford Family Medicine 20414 N 27th Ave Ste 300, Phoenix, AZ 85027-3254 2019-01-23
1669649075 Michael Lazaro Sarkees Internal Medicine 20414 N 27th Ave Ste 300, Phoenix, AZ 85027 2008-05-14

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NPI Name Taxonomy Address Enumeration
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1790284776 Lydia Kuuipo Chong Nurse Practitioner 20414 N 27th Ave #300, Phoenix, AZ 85027 2018-02-06
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1124394515 Sfjg Holdings LLC Dentist 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 2012-03-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407456783 Brenna Michelle Clements Nurse Practitioner 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams Nurse Practitioner 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85027

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Dataset Information

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.

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