Individual provider Active NPI

Kristine Mary Buckley, L.AC

  • Acupuncturist
  • Pleasanton, CA
National Provider Identifier
1386823136
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11544 Issued in CA
Practice address
1020 Serpentine LN
Suite 115
Pleasanton, CA 94566-4758
Phone
(925) 640-9671
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11544 CA Primary

Addresses

Primary practice location

1020 Serpentine LN
Suite 115
Pleasanton, CA 94566-4758

Mailing address

1020 Serpentine LN
Suite 115
Pleasanton, CA 94566-4758
Phone (925) 640-9671

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1386823136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SERPENTINE LN",
            "address_2": "SUITE 115",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664758",
            "telephone_number": "925-640-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SERPENTINE LN",
            "address_2": "SUITE 115",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664758",
            "telephone_number": "925-640-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "KRISTINE",
        "middle_name": "MARY",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.