Audrey L Buck, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-184 Issued in ID

Practice address

520 N 3Rd Ave
Sandpoint, ID 83864-1507

Phone

(208) 265-1180

Fax

(208) 265-1278

NPI assigned

May 17, 2007

Last updated

Jul 9, 2007By 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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael R Dibenedetto MD PLLCGroup PAC ID 0840385670, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: audrey.buck@nioasm-id.direct.office.nextgen.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.

• Michael R Dibenedetto MD PLLC

  dba North Idaho Cardiac Rehabilitation

  • Orthopaedic Surgery Physician
  • Ponderay, ID
  • NPI 1083809727
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427265453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640863",
            "telephone_number": "208-265-1180",
            "fax_number": "208-265-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 3RD AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641507",
            "telephone_number": "208-265-1180",
            "fax_number": "208-265-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "AUDREY",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Thoreson, MSW, LCSW, PLLC
• Robyn Kelli Bridges, RN
• Pamela M Brockus, CPSS
• William Jay Bruce, LCPC
• Julie Ann Brusaw, MA LCPC LMFT
• Scott Burgstahler, M.D.
• Laci Ann Burk, FNP-BC
• Chelsea Claire Burnett, LMT
• Kathy L Burns, LAC, EAMP
• Shawna Butz, LMT

• Registered Dietitian in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.