Teresa Patawaran Buco, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

811511 Issued in NV

Practice address

801 S Rancho Dr Ste E7
Las Vegas, NV 89106-3812

Phone

(702) 478-5133

Fax

(702) 478-5401

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• JGBB LLC

  • Infusion Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1174268429

  Registered Nurse

  NPD Authorized official
• JGBB LLC

  • Infusion Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1659846699

  Multi-Specialty

  NPD Authorized official
• PMKM LLC

  • Specialty Pharmacy
  • Las Vegas, NV
  • NPI 1326488784
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1124593173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 AMERICAN PACIFIC DR APT 7207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747613",
            "telephone_number": "702-587-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-478-5133",
            "fax_number": "702-478-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCO",
        "first_name": "TERESA",
        "middle_name": "PATAWARAN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95165109",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "811511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF NURSING",
            "identifier": "95165109",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF NURSING",
            "identifier": "811511",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lamont Buckman
• Alisha Renee Buckner
• Sabrina Buckner
• Shanell Buckner
• Kevin Ray Buckwalter, MD
• Angelina D Bucu, NP
• Lindsay Marie Buczek
• Danielle Madeline Buda, D.C.
• Brian Timothy Budd
• Brittany Budd

• All providers in Las Vegas, NV
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.