Derelmy Buckley

Primary specialty

Social WorkerTaxonomy code 104100000X

License

13530 Issued in TN

Practice address

1351 General George Patton Rd
Nashville, TN 37221-2446

Phone

(240) 818-4984

NPI assigned

Jun 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1255070934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 GENERAL GEORGE PATTON RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212446",
            "telephone_number": "240-818-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 GENERAL GEORGE PATTON RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212446",
            "telephone_number": "240-818-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "DERELMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "13530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSURE",
            "identifier": "13530",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nashville",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1351 General George Patton Rd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372212446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Buck
• Chad Anthony Buck, PH.D.
• Lori Moot Buck, OTD, OTR/L
• Emily Buckingham
• Christopher Buckley, PHARMD
• Lauren Elizabeth Buckley, MD
• Lisa Hunt Buckley, M.D.
• Nichole Buckley
• Ryan Joseph Buckley, M.D.
• Ayanna Buckner

• Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.