Active NPI
Ann Marie Buckler, C.R.N.A.
- Certified Registered Nurse Anesthetist
- La Plata, MD
National Provider Identifier
1386797520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R057171
- Practice address
- 701 Charles St
La Plata, MD 20646-5930 - Phone
- (301) 609-4285
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R057171 | MD | Primary |
Addresses
Primary practice location
701 Charles St
La Plata, MD 20646-5930
Mailing address
141 Thomas Johnson Dr
Ste. 190
Frederick, MD 21702-4502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350001200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newbridge Surgery Center at Prince Frederick, LLC | Past | Accepting new patients | |
| Capital Pain Management & Anesthesia Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- La Plata, MD
- NPI 1407886781
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1285944504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1386797520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 THOMAS JOHNSON DR",
"address_2": "STE. 190",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CHARLES ST",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206465930",
"telephone_number": "301-609-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLER",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R057171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350001200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.