Pasqua Rose Bucklew, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R549533 Issued in MS

Practice address

301 Fisher Street
Biloxi, MS 39534

Phone

(228) 376-4879

Fax

(228) 376-0172

NPI assigned

Aug 12, 2005

Last updated

Sep 12, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ms State Dept of Health

  • Long Term Care Pharmacy
  • Jackson, MS
  • NPI 1376606582
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1144222704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER STREET",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39534",
            "telephone_number": "228-376-4879",
            "fax_number": "228-376-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER STREET",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39534",
            "telephone_number": "228-376-4879",
            "fax_number": "228-376-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEW",
        "first_name": "PASQUA",
        "middle_name": "ROSE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MS",
            "license": "R549533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123966",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L Brunston Jr., M.D.
• Elizabeth Foster Brushaber, NP
• Lisa Ann Bryan
• Krishawnna Bryant, LMT
• Paulette Kay Bryant, CLINICAL SOCIAL WORK
• Gregory Buford Jr.
• Building Behaviors Counseling Services, LLC
• Eric A. Bunting, PA-C
• David D. Burke, MA ED., COMS
• Raven JF Burks, DPC,LPC,NCC,BCTMH

• Advanced Practice Midwife in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Advanced Practice Midwife in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.