Individual provider Active NPI

Cynthia J Buckley, RNPP

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1154365054
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPP20964 Issued in RI
Practice address
Providence College Student Health Services
549 River Ave
Providence, RI 02918-0001
Phone
(401) 865-2422
Fax
(401) 865-2809
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP20964 RI Primary

Addresses

Primary practice location

Providence College Student Health Services
549 River Ave
Providence, RI 02918-0001

Mailing address

Providence College Student Health Services
549 River Ave
Providence, RI 02918-0001
Phone (401) 865-2422

Other identifiers 1

IdentifierTypeStateIssuer
CB35070MedicaidRI

Other names 1

  • Cynthia Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NPP20964RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence College Student Health Services Past Accepting new patients

Organizations & group practices 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1154365054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDENCE COLLEGE STUDENT HEALTH SERVICES",
            "address_2": "549 RIVER AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029180001",
            "telephone_number": "401-865-2422",
            "fax_number": "401-865-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROVIDENCE COLLEGE STUDENT HEALTH SERVICES",
            "address_2": "549 RIVER AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029180001",
            "telephone_number": "401-865-2422",
            "fax_number": "401-865-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "RNPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP20964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB35070",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.