Craig David Buckley

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN319506 Issued in OH

Practice address

35000 Kaiser CT
Willoughby, OH 44094-3382

Phone

(440) 269-4600

Fax

(216) 229-6017

NPI assigned

Dec 16, 2022

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

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1386356798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606712",
            "telephone_number": "216-287-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 KAISER CT",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943382",
            "telephone_number": "440-269-4600",
            "fax_number": "216-229-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CRAIG",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OH",
            "license": "RN319506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Edward Bumpus, RPH.
• April Burkett
• Carahlynn Burns, CDCA

• Ambulatory Care Registered Nurse in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Ambulatory Care Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.