Active NPI
Diane Walker Bucknill, NP
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 123257
- Practice address
- Senior Health Unit, CP2 502
165 Cambridge St
Boston, MA 02114 - Phone
- (617) 726-4600
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 123257 | MA | Primary |
Addresses
Primary practice location
Senior Health Unit, CP2 502
165 Cambridge St
Boston, MA 02114
Mailing address
Senior Health Unit, CP2 502
165 Cambridge St
Boston, MA 02114
Phone (617) 726-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, NJ, MI, PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123257 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Massachusetts Post Acute Medical Services 1 PC | Current | Accepting new patients | |
| Ipc Hospitalists of New England, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Inpatient Consultants of Pennsylvania PC | Nurse Practitioner | Current | Accepting new patients |
| De Pacs 2 PA | Current | Accepting new patients | |
| Ma Pacs 2 PC | Current | Accepting new patients | |
| Delaware Post Acute Medical Services 1 | Current | Accepting new patients | |
| Massachusetts Acute Care Specialists PC | Current | Accepting new patients | |
| Mi Pacs 2 PC | Current | Accepting new patients | |
| Inpatient Consultants of Pennsylvania PC | Current | Accepting new patients | |
| NJ Pacs 2 PA | Current | Accepting new patients | |
| New Jersey Post Acute Medical Services 1 PA | Current | Accepting new patients | |
| Ipc Hospitalists of New England PC | Nurse Practitioner | Current | Accepting new patients |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Past | Accepting new patients | |
| NV Pacs 2 LLC | Past | Accepting new patients |
Locations
810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420
700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
111 Birch St
Lynn, MA 01902
Phone (781) 592-9667
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
67 Union St
Natick, MA 01760
Phone (508) 383-1104
111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858
37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222
819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
71 Elm St
Milford, NH 03055
Phone (603) 673-2907
55 Harris Rd
Nashua, NH 03062
Phone (603) 324-4415
95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451
77 Madison Ave
Morristown, NJ 07960
Phone (973) 540-9800
1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718
2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705
720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
NH, Nurse Practitioner
-
- Hospitalist Physician
- Chelsea, MA
- NPI 1265918791
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1306134812
-
- Hospitalist Physician
- Hockessin, DE
- NPI 1457837981
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1801325717
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1699204503
MA
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
-
- Hospitalist Physician
- Brighton, MI
- NPI 1669901567
-
- Hospitalist Physician
- Red Bank, NJ
- NPI 1578092391
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1376578658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SENIOR HEALTH UNIT, CP2 502",
"address_2": "165 CAMBRIDGE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SENIOR HEALTH UNIT, CP2 502",
"address_2": "165 CAMBRIDGE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNILL",
"first_name": "DIANE",
"middle_name": "WALKER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "123257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.