Individual provider Active NPI

Elcha Buckman, ARNP PHD

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Ft Lauderdale, FL
National Provider Identifier
1396854501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
ARNP 1918912 Issued in FL
Practice address
3430 Galt Ocean Dr
1704
Ft Lauderdale, FL 33308-7045
Phone
(781) 799-2110
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X ARNP 1918912 FL Primary

Addresses

Primary practice location

3430 Galt Ocean Dr
1704
Ft Lauderdale, FL 33308-7045

Mailing address

3430 Galt Ocean Dr
1704
Ft Lauderdale, FL 33308-7045
Phone (781) 799-2110

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
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ARNP 1918912FLMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396854501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 GALT OCEAN DR",
            "address_2": "1704",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087045",
            "telephone_number": "781-799-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 GALT OCEAN DR",
            "address_2": "1704",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087045",
            "telephone_number": "781-799-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMAN",
        "first_name": "ELCHA",
        "name_prefix": "Dr.",
        "credential": "ARNP PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "ARNP 1918912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.