Lilian Atieno Buist

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11035577 Issued in FL

Practice address

15802 Baxter Creek Dr
Jacksonville, FL 32218-8354

Phone

(904) 662-5762

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1144017120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 BAXTER CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188354",
            "telephone_number": "904-662-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 BAXTER CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188354",
            "telephone_number": "904-662-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUIST",
        "first_name": "LILIAN",
        "middle_name": "ATIENO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Bugnon
• Kim S Buhl, APRN
• Diane Bui, DO
• Jalin Demonte Buie
• Teila A Buie
• Stephany Buitrago Aguirre
• Karli Kay Bukovac, MOT, OTR/L
• Natalya V Bulaeva, M.D.
• Chelsea Bullard, DC
• Kristen Bullard

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.