Terrevia La Shawn Buck, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN487145 Issued in CA

Practice address

1423 W 66TH St
Los Angeles, CA 90047-2011

Phone

(323) 920-4856

Fax

(323) 451-8098

NPI assigned

Apr 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chances Transition Home

  • Recovery Care Clinic/Center
  • Los Angeles, CA
  • NPI 1801416631

  Administrator

  NPD Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1093335887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 W 66TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472011",
            "telephone_number": "323-920-4856",
            "fax_number": "323-451-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W 66TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472011",
            "telephone_number": "323-920-4856",
            "fax_number": "323-451-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "TERREVIA",
        "middle_name": "LA SHAWN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "RN487145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Bucio, AMFT
• Sobeide S Bucio
• Don B Buck, DAOM, L.AC.
• Jessica L Buck
• Latara Tashai' Buck
• Clare Sandra Buckingham, M.D.
• Heidi Adam Buckland, PHD
• Bryan Buckler-Newruck
• Conor W Buckley, MD
• Daniel Paul Buckley, SLP

• Administrator Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.