Lori Buckley, MSN, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

R185850 Issued in MD

Practice address

1901 West St Unit 204
Annapolis, MD 21401-3935

Phone

(410) 758-7779

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1326656935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WEST ST UNIT 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013935",
            "telephone_number": "410-758-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WEST ST UNIT 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013935",
            "telephone_number": "410-758-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LORI",
        "name_prefix": "Prof.",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MD",
            "license": "R185850",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "R185850",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MD",
            "license": "R185850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "B240546501663",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Annapolis",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Annapolis",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Annapolis",
            "address_1": "1901 West St Unit 204",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BTST Services
• M Kathryn Buchanan, M.D.
• Yusef Buchanan
• Camille Buck
• Krista K Buckley, D.O.
• Meghan H Buckley, PSY.D.
• Allyssa Bucknor
• Caroline Jill Buehler, M.S, PA-C
• Donald Paul Buhrer Jr., M.D.
• Pamela Bukowski

• College Health Registered Nurse in Annapolis, MD
• Providers in Annapolis, MD by specialty
• College Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.