Active NPI
Kerri Lynn Buckman, SPEC.ED TEACHER
- Specialist
- Albion, IL
National Provider Identifier
1215241237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2140837
- Practice address
- 336 E Main St
Albion, IL 62806-1402 - Phone
- (618) 302-7794
- NPI assigned
- Aug 2, 2010
- Last updated
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2140837 | IL | Primary |
Addresses
Primary practice location
336 E Main St
Albion, IL 62806-1402
Mailing address
336 E Main St
Albion, IL 62806-1402
Phone (618) 302-7794
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2140837 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1215241237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 E MAIN ST",
"city": "ALBION",
"state": "IL",
"postal_code": "628061402",
"telephone_number": "618-302-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 E MAIN ST",
"city": "ALBION",
"state": "IL",
"postal_code": "628061402",
"telephone_number": "618-302-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKMAN",
"first_name": "KERRI",
"middle_name": "LYNN",
"credential": "SPEC.ED TEACHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "2140837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.