Active NPI
Sydney Buckley, M.S.
- Speech-Language Pathologist
- Jupiter, FL
National Provider Identifier
1043989924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10355
- Practice address
- 1080 E Indiantown Rd Ste 204
Jupiter, FL 33477-5188 - Phone
- (561) 670-4864
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ10355 | FL | Primary |
Addresses
Primary practice location
1080 E Indiantown Rd Ste 204
Jupiter, FL 33477-5188
Mailing address
1080 E Indiantown Rd Ste 204
Jupiter, FL 33477-5188
Phone (561) 670-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10355 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1043989924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 E INDIANTOWN RD STE 204",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775188",
"telephone_number": "561-670-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E INDIANTOWN RD STE 204",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775188",
"telephone_number": "561-670-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "SYDNEY",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.