Lynette Cynthia Buckner, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704122172 Issued in MI

Practice address

25401 Harper Ave
Saint Clair Shores, MI 48081-2240

Phone

(586) 466-6912

NPI assigned

Feb 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114067733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54621 MAHOGANY DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422215",
            "telephone_number": "586-781-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812240",
            "telephone_number": "586-466-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "LYNETTE",
        "middle_name": "CYNTHIA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704122172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Bruckner, D.O.
• Anthony Paul Brunetti, PA-C
• Shawndelin Marie Brunsman, P.A.-C
• Bryan a. Baetens, D.C., P.C.
• Adele Buck, BCBA, MA, LBA
• Ashley Budnik, DC
• Erika Lynn Budson, LPC
• Romana Burchett, LLMSW
• Paul Xavier Burgoyne, MD
• Vickie Anne Burleson, OTR, CHT

• Registered Nurse in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.