MRS. CRYSTAL ROSE BUCK (NPI# 1295168961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295168961 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL ROSE BUCK |
| Credential | FNP |
| Practice Address |
45 Marketplace Dr Suite 102 Rocky Mount VA 24151-6516 |
| Mailing Address |
550 N Franklin St Christiansburg VA 24073-1916 |
| Practice Telephone | 5404833678 |
| Practice Fax Number | 5404833820 |
| Mailing Telephone | 4343907224 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024171113 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP PTAN | C05545 | 01 |
| Street Address |
45 MARKETPLACE DR SUITE 102 |
| City | ROCKY MOUNT |
| State | VA |
| Zip Code | 24151-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588611933 | Japhet Legrant | Chiropractor | 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151-6516 | 2006-05-30 |
| 1851560940 | Cornerstone Complete Care | Family Medicine | 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151-6516 | 2008-02-22 |
| 1396896148 | Kennedy Chiropractic Health Center | Chiropractor | 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151-6516 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093987 | Youth Connect of Virginia, Inc. | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151 | 2018-05-15 |
| 1568975696 | Kathleen Conway | Speech-Language Pathologist | 25 Bernard Road, Rocky Mount, VA 24151 | 2017-11-11 |
| 1639581960 | Kylie Morris | Family Medicine | 390 S Main St Ste 201, Rocky Mount, VA 24151 | 2014-05-21 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1760786115 | Rick H Orange | Pharmacist | 200 Parkside Ln, Rocky Mount, VA 24151 | 2010-12-28 |
| 1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
| 1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
| 1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
| 1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
| 1073611422 | Cathy Zoe Ford | Dentist | 490 S Main Street, Suite 201, Rocky Mount, VA 24151 | 2006-09-20 |
| Find all providers in zip 24151 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072817 | Carissa Shanae Smith | Nurse Practitioner | 3208 Sunset Ave Ste C, Rocky Mount, NC 27804-3590 | 2020-08-02 |
| 1659912715 | Diana Louise Lafrance | Nurse Practitioner | 20 Hawks Ridge Rd, Rocky Mount, MO 65072-3329 | 2019-09-30 |
| 1124592860 | Southmountain Children & Family Services | Nurse Practitioner | 116 N Englewood Dr, Rocky Mount, NC 27804-2452 | 2019-01-16 |
| 1750743308 | La Wanda Arnita Pulley | Nurse Practitioner | 4564 Country Ln, Rocky Mount, NC 27803-8327 | 2016-03-23 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1639147812 | Patti Greening Sperling | Nurse Practitioner | 111 S Fairview Rd, Rocky Mount, NC 27801 | 2006-03-14 |
| 1679195440 | Karen B Brown | Nurse Practitioner | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 | 2020-05-14 |
| 1548895469 | Paige Elizabeth Emig | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2020-03-11 |
| 1770140956 | Courtney Rae Boyd | Nurse Practitioner | 921 N Winstead Ave, Rocky Mount, NC 27804-8749 | 2019-05-23 |
| 1952965105 | Shannon Newton | Nurse Practitioner | 720 Orchard Ave, Rocky Mount, VA 24151-1842 | 2019-04-23 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 24151 |
Please comment or provide details below to improve the information on MRS. CRYSTAL ROSE BUCK.
| 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.