Angela Michele Buck, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5649P Issued in KY

Practice address

1100 Glensboro Rd Ste 8
Lawrenceburg, KY 40342-9084

Phone

(502) 604-1129

NPI assigned

Sep 24, 2008

Last updated

Nov 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Angela Michele Melton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Healthcare Center LLC

  dba Paragon Family Practice

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1932149622
  NPD (past)
• Lexington Primary Care LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1194741017
  NPD (past)
• Madison Primary Care, LLC

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1730473745

  Family

  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1104076371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 LOCK RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429696",
            "telephone_number": "502-604-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GLENSBORO RD STE 8",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429084",
            "telephone_number": "502-604-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404222091",
            "country_code": "US",
            "telephone_number": "859-236-1080",
            "fax_number": "859-236-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ANGELA",
        "middle_name": "MICHELE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5649P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1091915",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN KENTUCKY BOARD OF NURSING LICENSE",
            "identifier": "3005649",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MELTON",
            "middle_name": "MICHELE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Shea Bottom
• Donna Marie Bragg, APRN
• Bridge of Hope
• Bradley Hamilton Briscoe, PTA
• Lea H. Briscoe, D.M.D.
• Michael Kyle Burleson, PHARMD
• Capital Family Physicians PSC (Capital Medical Group)
• Tanya Sunday Carman, LMT
• Paula Ann Carothers
• Allen P. Carr, R.PH

• Family Nurse Practitioner in Lawrenceburg, KY
• Providers in Lawrenceburg, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.