Individual provider Active NPI

Monique Bucknor

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1063293322
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1930 Martin Luther King Jr Ave SE
Washington, DC 20020-7006
Phone
(240) 424-4092
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1930 Martin Luther King Jr Ave SE
Washington, DC 20020-7006

Mailing address

6202 Wayne CT
Cheverly, MD 20785-3000
Phone (240) 424-4092

Other practice location 1

6202 Wayne Ct
Cheverly, MD 20785-3000
Phone (240) 424-4092

Other practice location 2

996 Maine Ave SW # 208
Washington, DC 20024-3440
Phone (240) 424-4092

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1063293322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 WAYNE CT",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207853000",
            "telephone_number": "240-424-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207006",
            "telephone_number": "240-424-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6202 Wayne Ct",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207853000",
            "country_code": "US",
            "telephone_number": "240-424-4092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "996 Maine Ave SW # 208",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200243440",
            "country_code": "US",
            "telephone_number": "240-424-4092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNOR",
        "first_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.