Active NPI
Tikeama Buckingham, FNP-BC
- Family Nurse Practitioner
- Newport News, VA
National Provider Identifier
1255725016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178685
- Practice address
- 11745 Jefferson Ave Ste 10B
Newport News, VA 23606-4418 - Phone
- (513) 834-7063
- NPI assigned
- Mar 19, 2015
- Last updated
- Dec 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178685 | VA | Primary |
| Registered Nurse | 163W00000X | 586622-1 | NY |
Addresses
Primary practice location
11745 Jefferson Ave Ste 10B
Newport News, VA 23606-4418
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063
Other practice location 1
121 Spring Trace Ln
Newport News, VA 23601-1104
Phone (716) 548-8644
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tbuckingham@rightpathcenters.com |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 586622-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperfections Health and Wellness LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1255725016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "513-834-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11745 JEFFERSON AVE STE 10B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064418",
"telephone_number": "513-834-7063"
}
],
"practiceLocations": [
{
"address_1": "121 Spring Trace Ln",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236011104",
"country_code": "US",
"telephone_number": "716-548-8644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKINGHAM",
"first_name": "TIKEAMA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178685",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "586622-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tbuckingham@rightpathcenters.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "121 Spring Trace Ln",
"city": "Newport News",
"state": "VA",
"country_code": "US",
"postal_code": "236011104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.