Kayla Nicole Bucklew

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1184 Sarah Freeman Dr
Centerville, OH 45458-4986

Phone

(937) 546-6171

NPI assigned

Nov 9, 2023

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

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1205600210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 SARAH FREEMAN DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454584986",
            "telephone_number": "937-546-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 SARAH FREEMAN DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454584986",
            "telephone_number": "937-546-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEW",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Margaret Brun
• Gabriel Brunk, APRN, CNP
• Sarah Bruno
• Ryann Bryant, DPT
• BTD Transportation
• Ricardo Mario Buenaventura, M.D.
• Denise Ellene Buenger, PA-C
• Robert E. Bulow, DO
• Joshua Bumgardner, PA-C
• Alex Bunce, D.O.

• All providers in Centerville, OH
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.