Individual provider Active NPI

Julie Ann Buckman, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1255659090
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6343P Issued in KY
Practice address
11901 Standiford Plaza Dr
Louisville, KY 40229-5906
Phone
(502) 969-0526
Fax
(502) 969-0565
NPI assigned
May 4, 2010
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CV2002433 IN
Family Nurse Practitioner 363LF0000X 6343P KY Primary

Addresses

Primary practice location

11901 Standiford Plaza Dr
Louisville, KY 40229-5906

Mailing address

5200 Commerce Crossings Dr
FL 3
Louisville, KY 40229-2182
Phone (502) 253-4924

Other identifiers 1

IdentifierTypeStateIssuer
7100160890MedicaidKY

Other names 1

  • Julie Ann Hatchett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbuckman6173@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110603000156 KY Practitioner - Nurse Practitioner 1052598844 Reassigns benefits to 2 organizations
I20210104000672 IN Practitioner - Nurse Practitioner 1052598844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CV2002433INMDFamily Nurse Practitioner
6343PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring View Hospital LLC CurrentSince Jul 1, 2011 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 7, 2016 Accepting new patients
Spring View Hospital LLC CurrentSince Jul 1, 2011 Accepting new patients
Md2U Kentucky LLC PastSince Jan 4, 2011 Accepting new patients

Locations

60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1255659090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR",
            "address_2": "FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 STANDIFORD PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295906",
            "telephone_number": "502-969-0526",
            "fax_number": "502-969-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMAN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "CV2002433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6343P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100160890",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbuckman6173@bhkydirect.com",
            "affiliation": "N",
            "address_1": "11901 Standiford Plaza Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402295906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HATCHETT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.