Individual provider Active NPI

Anya Buckett, FNP

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1104568997
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
850287 Issued in NV
Practice address
499 W Plumb LN Ste 101
Reno, NV 89509-3778
Phone
(775) 369-2106
Fax
(775) 218-4488
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 789473 CA
Family Nurse Practitioner 363LF0000X AP61339903 WA
Family Nurse Practitioner 363LF0000X 850287 NV Primary

Addresses

Primary practice location

499 W Plumb LN Ste 101
Reno, NV 89509-3778

Mailing address

499 W Plumb LN Ste 101
Reno, NV 89509-3778
Phone (775) 369-2106

Other identifiers 1

IdentifierTypeStateIssuer
789473OtherCARN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.anyabuckett.com Direct

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

State licenses

LicenseStateTypeSpecialty
789473CAMDRegistered Nurse
850287NVMDFamily Nurse Practitioner
AP61339903WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1104568997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 W PLUMB LN STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093778",
            "telephone_number": "775-369-2106",
            "fax_number": "775-218-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 W PLUMB LN STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093778",
            "telephone_number": "775-369-2106",
            "fax_number": "775-218-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKETT",
        "first_name": "ANYA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "789473",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61339903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "850287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "789473",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.anyabuckett.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "499 W Plumb Ln Ste 101",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895093778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.