LAURA LEA BUCKERT (NPI# 1366895898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366895898 |
| Entity Type | Individual |
| Full Name | LAURA LEA BUCKERT |
| Credential | BSRN, PHN |
| Practice Address |
2191 Johnson Ave San Luis Obispo CA 93401-4534 |
| Mailing Address |
981 Las Tunas St Morro Bay CA 93442-2319 |
| Practice Telephone | 8057882188 |
| Mailing Telephone | 8059033771 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
492283 | CA | Nursing Service Providers |
| Street Address |
2191 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437103983 | County of San Luis Obispo | Clinical Medical Laboratory | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2006-05-20 |
| 1811504202 | Cherie Marie Fields | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2020-09-29 |
| 1356957724 | Tina Danielle Phipps | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2020-09-21 |
| 1760009880 | Zoila L. Casalis | Case Manager/Care Coordinator | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2020-07-06 |
| 1184280521 | Jamie Michele Rich | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2019-05-10 |
| 1861957573 | Bonnie Pokoo-aikins | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2019-02-06 |
| 1710456447 | Hannah Lee Elliott | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2018-11-26 |
| 1093280752 | Kristina Horak | Case Management | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2018-10-09 |
| 1689158768 | Sandra Sue Walzberg | Case Management | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2018-09-24 |
| 1356893853 | David Michels | Counselor | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2016-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675606 | Paul Robert Smith | Registered Nurse | 357 Pismo St Apt F, San Luis Obispo, CA 93401-6141 | 2018-03-30 |
| 1831396258 | Laura Ann Ottrando | Registered Nurse | 2925 Mcmillan Ave Ste 108, San Luis Obispo, CA 93401-6765 | 2007-06-29 |
| 1811504202 | Cherie Marie Fields | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2020-09-29 |
| 1356957724 | Tina Danielle Phipps | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2020-09-21 |
| 1184280521 | Jamie Michele Rich | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2019-05-10 |
| 1861957573 | Bonnie Pokoo-aikins | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2019-02-06 |
| 1710456447 | Hannah Lee Elliott | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2018-11-26 |
| 1275927725 | Nakia Wheeler | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2015-03-23 |
| 1841632502 | Sylvie Duvet | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2013-07-23 |
| 1225364235 | Amy Williams | Registered Nurse | 2191 Johnson Ave, San Luis Obispo, CA 93401-4534 | 2009-10-26 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on LAURA LEA BUCKERT.
| 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.