Anita K Buckle, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12360 Issued in TN

Practice address

324 Park 40 North Blvd
Ste B
Knoxville, TN 37923

Phone

(865) 692-3462

Fax

(865) 692-3463

NPI assigned

Nov 1, 2006

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anita K Anderson Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Merit-based Incentive Payment System (MIPS)

Final score

84.16 of 100Reported as group

Quality

50.68

Promoting interoperability

100

Improvement activities

40

Cost

79.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aanderso@yourcarecommunity.org
• Direct secure messaging: abuckle530139@balladhealth.medalliesdirect.net
• Direct secure messaging: abuckle58566@direct.acumenmd.com

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.

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  Medicare reassignment NPD
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  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1396823183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 VERONA LN",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495382",
            "telephone_number": "865-947-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PARK 40 NORTH BLVD",
            "address_2": "STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLE",
        "first_name": "ANITA",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "ANDERSON",
            "middle_name": "K",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Buck
• Cassandra Buck, MS, CF-SLP
• Melody E Buck, PT
• Donovan T Buckholtz, BA
• Lisa Caroline Buckingham, M.D.
• Ashley B Buckley, SLP
• Katherine Elaine Buckley
• Michael Ryan Buckley, M.D.
• Sara Buckley, M.A., CCC-SLP
• Mason Henry Bucklin, PHARMD

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.