Individual provider Active NPI

Tamara Morouse Buckley, M.S.N.,P.N.P.

  • Pediatric Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1235177296
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R092856 Issued in MI
Practice address
344 University Blvd W
Ste 112
Silver Spring, MD 20901-1948
Phone
(301) 681-6730
Fax
(301) 681-4268
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R092856 MI Primary

Addresses

Primary practice location

344 University Blvd W
Ste 112
Silver Spring, MD 20901-1948

Mailing address

344 University Blvd W
Ste 112
Silver Spring, MD 20901-1948
Phone (301) 681-6730

Other identifiers 2

IdentifierTypeStateIssuer
33194OtherMDPRIORITY PRTNERS MCO
5666-0004OtherDCBLUE CROSS/BLUE SHIELD

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R092856MIMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235177296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W",
            "address_2": "STE 112",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011948",
            "telephone_number": "301-681-6730",
            "fax_number": "301-681-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W",
            "address_2": "STE 112",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011948",
            "telephone_number": "301-681-6730",
            "fax_number": "301-681-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "TAMARA",
        "middle_name": "MOROUSE",
        "name_prefix": "Mrs.",
        "credential": "M.S.N.,P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "R092856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PRTNERS MCO",
            "identifier": "33194",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "5666-0004",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.