Individual provider Active NPI

Patricia Anne Buerkle, N.P. CLINICAL NURSE

  • Adult Health Clinical Nurse Specialist
  • Riverhead, NY
National Provider Identifier
1215336979
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
F301585 Issued in NY
Practice address
100 Center Drive
SCCF Jail Medical
Riverhead, NY 11971
Phone
(631) 852-2976
Fax
(631) 852-3966
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X F301585 NY Primary

Addresses

Primary practice location

100 Center Drive
SCCF Jail Medical
Riverhead, NY 11971

Mailing address

100 Center Drive
SCCF Jail Medical
Riverhead, NY 11971
Phone (631) 852-2976

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F301585NYMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1215336979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTER DRIVE",
            "address_2": "SCCF JAIL MEDICAL",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11971",
            "telephone_number": "631-852-2976",
            "fax_number": "631-852-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTER DRIVE",
            "address_2": "SCCF JAIL MEDICAL",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11971",
            "telephone_number": "631-852-2976",
            "fax_number": "631-852-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUERKLE",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "N.P. CLINICAL NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F301585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.