Active NPI
Shaavhree Yvette Buckman, M.D., PH.D.
- Pediatrics Physician
- Takoma Park, MD
National Provider Identifier
1295837912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0059021
- Practice address
- 7676 New Hampshire Ave
Suite 220
Takoma Park, MD 20912-7512 - Phone
- (301) 331-2972
- Fax
- (301) 431-0008
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0059021 | MD | Primary |
Addresses
Primary practice location
7676 New Hampshire Ave
Suite 220
Takoma Park, MD 20912-7512
Mailing address
2020 University Blvd W
Silver Spring, MD 20902-4424
Phone (301) 946-5963
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
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059021 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295837912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024424",
"telephone_number": "301-946-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7676 NEW HAMPSHIRE AVE",
"address_2": "SUITE 220",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209127512",
"telephone_number": "301-331-2972",
"fax_number": "301-431-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKMAN",
"first_name": "SHAAVHREE",
"middle_name": "YVETTE",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0059021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.