Jonathan Coulter Buckman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11021103 Issued in FL

Practice address

9734 Deer Lake CT Ste 6
Jacksonville, FL 32246-4469

Phone

(904) 339-7341

NPI assigned

Sep 8, 2022

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivx Health of Florida, P.a.

  • Infusion Therapy Clinic/Center
  • Altamonte Springs, FL
  • NPI 1821622432
  Medicare reassignment Care Compare group NPD
• Infusion Express of Kansas LLC

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1922554732
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1376264218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 BRIGHTON BAY TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467214",
            "telephone_number": "386-214-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9734 DEER LAKE CT STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464469",
            "telephone_number": "904-339-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMAN",
        "first_name": "JONATHAN",
        "middle_name": "COULTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Louise Buckley, M.D.
• Nasja Aaliyah Buckley
• Stephen Leslie Buckley, M.D.
• Valerie Buckley, MA, CAS, PSY.D.
• Lisa M Buckloh, PHD
• Albert Lee. Buckner III, B.A, M. ED
• Ricky Alan Buckshaw Jr., D.O.
• Pamela Buday, PA
• Alexandra Budd, ARNP
• Julia Buddendorff, MD

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.