Individual provider Active NPI

Sydney A Buckland, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1104828326
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110820 Issued in NE
Practice address
2727 S 144TH St Ste 140
Omaha, NE 68144-5226
Phone
(402) 778-5677
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110820 NE
Nurse Practitioner 363L00000X 110820 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 140
Omaha, NE 68144-5226

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000489 NE Practitioner - Nurse Practitioner 7618910704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Unmc Physicians CurrentSince Jan 6, 2020 Accepting new patients
Charles Drew Health Center, Inc CurrentSince Sep 1, 2021 Accepting new patients
Lankford Holdings Monogram, Inc Past Accepting new patients
Nebraska Specialty Network, LLC PastSince Aug 6, 2019 Accepting new patients
The Nebraska Medical Center PastSince Mar 16, 2020 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients
Nebraska Heart Institute PC Past Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

8204 Crown Point Ave
Omaha, NE 68134
Phone (402) 557-3500

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

2727 S 144th St
Ste 140
Omaha, NE 68144
Phone (402) 778-5480

Interoperability endpoints

  • Direct secure messaging: sydney.buckland.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1104828326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445226",
            "telephone_number": "402-778-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLAND",
        "first_name": "SYDNEY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110820",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.