MRS. JESSICA BLOOM BUCKLEY


Address: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 3043884077

MRS. JESSICA BLOOM BUCKLEY (NPI# 1396828992) 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) 1396828992
Entity Type Individual
Full Name MRS. JESSICA BLOOM BUCKLEY
Other Name JESSICA ANNE BLOOM
Practice Address 3200 Maccorkle Ave Se
Charleston
WV 25304
Mailing Address 3 Dawn Place
Charleston
WV 25314
Practice Telephone 3043884077
Practice Fax Number 3043889852
Mailing Telephone 3043440949
Enumeration Date 2006-10-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 163W00000X Registered Nurse 61450 WV Nursing Service Providers
X 367500000X Nurse Anesthetist, Certified Registered 73554 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV R MEDICARE P00274757 01
WV 3810004241 05

Other Providers JESSICA BUCKLEY

NPI Name Taxonomy Address Enumeration
1043559917 Jessica Anne Buckley Specialist 52 Sherbrooke Rd, Lindenhurst, NY 11757-1643 2013-02-12
1194036970 Jessica Woods Buckley Social Worker 58 Sullivan St Unit 1, Charlestown, MA 02129-2433 2010-06-28
1184251035 Jessica Leigh Buckley Registered Nurse 112 Southampton St, Boston, MA 02118-2711 2020-03-23
1861048068 Jessica Buckley Physical Therapist 4200 Park Ave, Bridgeport, CT 06604-1049 2019-08-13
1134635550 Jessica Buckley Behavior Technician 80 Washington St Bldg P, Norwell, MA 02061-1740 2017-12-20
1629502174 Jessica Buckley Student in an Organized Health Care Education/Training Program 33 Sylvan Ave, Apt 710, New Haven, CT 06519-1056 2017-04-11
1770996704 Jessica Buckley Physical Therapist 4820 W Newberry Rd, Gainesville, FL 32607-2249 2014-06-06
1043571169 Jessica Jean Buckley Case Manager/Care Coordinator 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 2012-06-05
1518245620 Jessica Sara Buckley Speech-Language Pathologist 345 Fortune Blvd, Milford, MA 01757-1723 2011-07-25
1396947529 Jessica Buckley Pediatrics 7601 Stoneridge Dr, Kaiser Medical Office, Pleasanton, CA 94588-4501 2007-06-01

Office Location

Street Address 3200 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881685550 Balakrishnan Sridharan Internal Medicine 3200 Maccorkle Ave Se, Hospitalists Program, Charleston, WV 25304-1227 2005-11-02
1982217139 Ashley Lauren Bowles Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-08-27
1932717121 Chan Myae Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-07-14
1639792971 Victoria Morgan Bullman Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-21
1205459708 Samantha Withrow Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1013530567 Jennifer D Valdez Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1962025411 Rhea N Lipscomb Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1780207233 Bethany Noel Henson Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 2020-05-19
1598388043 Travis O Ellis Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1679194849 Joshua Zegeer Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-04-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073121240 Kristen Allen Ball Registered Nurse 1104 Hidden Fields Way, Charleston, SC 29412-9463 2020-07-14
1225659766 Lea Johnston Registered Nurse 1417 Swamp Fox Ln, Charleston, SC 29412-5320 2020-05-06
1346861937 Devon Plumley Registered Nurse 21 Quarry Rdg, Charleston, WV 25304-1052 2020-05-05
1992346092 Erin Kathleen O'donnell Registered Nurse 1483 Tobias Gadson Blvd., Suite 107, Charleston, SC 29407-4795 2019-10-01
1902456288 Margaret Blincow Registered Nurse 15 Yeamans Rd, Charleston, SC 29407-7539 2019-09-18
1386162873 Jonathan Hayes Registered Nurse 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 2017-09-05
1154859502 Florence Mack Vann Registered Nurse 1041 Woodside Dr, Charleston, SC 29412-9359 2017-05-30
1902271505 Mary Workman Registered Nurse 1520 Wahington Street East, Charleston, WV 25311 2015-12-08
1649643727 Jason Warren Registered Nurse 1020 River Haven Cir Apt O, Charleston, SC 29412-4129 2015-11-11
1821490962 Shenae Ashley Long Registered Nurse 336 Boardwalk Dr, Charleston, SC 29414-4966 2014-09-19
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Competitor

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City CHARLESTON
Zip Code 25304

Improve Information

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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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