Active NPI
Kevin L. Buckels
- Certified Respiratory Therapist
- Gonzales, LA
National Provider Identifier
1306196969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- CRTLT2440
- Practice address
- 2647 S. St Elizabeth Blvd
Gonzales, LA 70737 - Phone
- (225) 647-8511
- Fax
- (225) 644-5213
- NPI assigned
- Sep 11, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | CRTLT2440 | LA | Primary |
Addresses
Primary practice location
2647 S. St Elizabeth Blvd
Gonzales, LA 70737
Mailing address
2647 S. St Elizabeth Blvd
Gonzales, LA 70737
Phone (225) 647-8511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRTLT2440 | LA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1306196969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 S. ST ELIZABETH BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "70737",
"telephone_number": "225-647-8511",
"fax_number": "225-644-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 S. ST ELIZABETH BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "70737",
"telephone_number": "225-647-8511",
"fax_number": "225-644-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKELS",
"first_name": "KEVIN",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "LA",
"license": "CRTLT2440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.