DEBORAH BUCK (NPI# 1386861979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386861979 |
Entity Type | Individual |
Full Name | DEBORAH BUCK |
Credential | CRNP |
Practice Address |
171 Filly Drive North Wales PA 19454 |
Mailing Address |
171 Philly Drive North Wales PA 19454 |
Practice Telephone | 2153937379 |
Mailing Telephone | 2153937379 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-11-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
TP004991C | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | PA BLUE SHIELD | BU982336 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578849394 | Deborah Buck | Physical Therapy Assistant | 150 Edella Rd, South Abington Township, PA 18411-1628 | 2011-10-25 |
1043590862 | Deborah Buck | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-08-24 |
1134396732 | Deborah Buck | Case Manager/Care Coordinator | 4508 Stadium Blvd, Jonesboro, AR 72404-9675 | 2008-05-13 |
Street Address |
171 FILLY DRIVE |
City | NORTH WALES |
State | PA |
Zip Code | 19454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295258960 | Stephanie Dalzon | Contractor | 700 Lower State Rd Apt Th20, North Wales, PA 19454 | 2017-07-24 |
1457723611 | Stacey Kirchein | Dietitian, Registered | 700 Lower State Rd, Apt 18a1, North Wales, PA 19454 | 2015-10-28 |
1902289713 | Nani Rivera-cox | Marriage & Family Therapist | 217 Church Road, North Wales, PA 19454 | 2015-06-30 |
1104254812 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 167 Montgomery Mall, North Wales, PA 19454 | 2013-10-16 |
1023367323 | Wholistics / Wholistic Fitness LLC | Psychologist | 217 Church Rd Suite B, North Wales, PA 19454 | 2012-08-31 |
1396075925 | Mary M Oconnor | Occupational Therapist | 102 West Walnut St., North Wales Hand Rehabilitation, North Wales, PA 19454 | 2010-01-04 |
1104155050 | Laurie F Langbein | Counselor | 101 Chamberlain Cir, North Wales, PA 19454 | 2009-12-23 |
1235397225 | Jennifer Gail Duncan | Dentist | 298 Wissahickon Avenue, Suite 3, North Wales, PA 19454 | 2008-05-28 |
1811101967 | Angel Wahib Elbardissi | Dentist | 210 Stump Rd, North Wales, PA 19454 | 2007-05-09 |
1336361963 | Arlene M. Lavner | Counselor | 1233 Laura Lane, North Wales, PA 19454 | 2007-05-03 |
Find all providers in zip 19454 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
Find all providers with the same taxonomy |
City | NORTH WALES |
Zip Code | 19454 |
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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.