Active NPI
Corrina Lee Bucklew, LPN
- Counselor
- South Euclid, OH
National Provider Identifier
1306722467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPN17101MEDS
- Practice address
- 996 E Green Rd
South Euclid, OH 44121-3402 - Phone
- (440) 514-8638
- NPI assigned
- Aug 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPN17101MEDS | OH | Primary |
Addresses
Primary practice location
996 E Green Rd
South Euclid, OH 44121-3402
Mailing address
996 E Green Rd
South Euclid, OH 44121-3402
Phone (440) 514-8638
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 |
|---|---|---|---|
| LPN17101MEDS | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1306722467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 E GREEN RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213402",
"telephone_number": "440-514-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 E GREEN RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213402",
"telephone_number": "440-514-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEW",
"first_name": "CORRINA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "OH",
"license": "LPN17101MEDS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.