Angela Michele Buck, APRN
Individual provider Active NPI Family Nurse Practitioner · Lawrenceburg, KY
NPI 1104076371 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1104076371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5649P (KY)
- Practice address
- 1100 Glensboro Rd Ste 8
Lawrenceburg, KY 40342-9084 - Phone
- (502) 604-1129
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5649P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Primary Care LLC | Family | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5649P | KY | Yes |
Addresses
Primary practice location
1100 Glensboro Rd Ste 8
Lawrenceburg, KY 40342-9084
Mailing address
1339 Lock Rd
Lawrenceburg, KY 40342-9696
Phone (502) 604-1129
Other practice location 1
303 S 4th St
Danville, KY 40422-2091
Phone (859) 236-1080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3005649 | Other | KY | APRN KENTUCKY BOARD OF NURSING LICENSE |
| 7100058790 | Medicaid | KY | |
| 1091915 | Other | KY | RN LICENSE |
Other names
- Angela Michele Melton
Other providers in Lawrenceburg, KY
- Erika Shea Bottom
- Donna Marie Bragg
- Bridge of Hope
- Bradley Hamilton Briscoe
- Lea H. Briscoe
- Michael Kyle Burleson
- Capital Family Physicians PSC
- Tanya Sunday Carman
- Paula Ann Carothers
- Allen P. Carr
All providers in Lawrenceburg, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.