Laura Lea Buckert, BSRN, PHN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

492283 Issued in CA

Practice address

2191 Johnson Ave
San Luis Obispo, CA 93401-4534

Phone

(805) 788-2188

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1366895898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 LAS TUNAS ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422319",
            "telephone_number": "805-903-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014534",
            "telephone_number": "805-788-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKERT",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "BSRN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "492283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrena Anne Bryce, AMFT
• Paul Brylewski, P.A.
• Brian S Buchanan, DC
• Jeanne Ann Buchanan, OT/L
• Louise Bryden Buck, M.D.
• Coleen Buckley, LCSW
• Lillian V. Bucton, L.C.S.W.
• Kailey Marie Buczek, PT, DPT
• Stephanie Buenafe, BCBA
• Gabriella Buitrago

• Case Management Registered Nurse in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.