Individual provider Active NPI

Lucia Buckley, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1326716481
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024319 Issued in PA
Practice address
3830 S Water St
Pittsburgh, PA 15203-2375
Phone
(412) 422-5433
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024319 PA Primary

Addresses

Primary practice location

3830 S Water St
Pittsburgh, PA 15203-2375

Mailing address

137 Old Village LN
Bethel Park, PA 15102-3261
Phone (412) 849-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220114000490 PA Practitioner - Nurse Practitioner 5496147860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Pittsburgh Center for Functional MedicineGroup PAC ID 1052676210, 2 clinicians

Practice addresses (Care Compare)

3830 S Water St
Pittsburgh, PA 15203-2375
Phone (412) 422-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Center for Functional Medicine CurrentSince Jan 4, 2022 Accepting new patients

Locations

3830 S Water St
Pittsburgh, PA 15203
Phone (412) 422-5433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1326716481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 OLD VILLAGE LN",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151023261",
            "telephone_number": "412-849-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032375",
            "telephone_number": "412-422-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LUCIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.