Julia Buckley, NP-C
Individual provider Active NPI Nurse Practitioner · Warwick, RI
NPI 1467086348 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1467086348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 99999 (RI)
- Practice address
- 475 Kilvert St # 2
Warwick, RI 02886-1379 - Phone
- (401) 737-6900
- NPI assigned
- Feb 28, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201216002868 | RI | Order and Referring Only - Nurse Practitioner | 3971915802 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99999 | RI | MD | Nurse Practitioner |
Interoperability endpoints
- julia.buckley@954568341323780.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 99999 | RI | Yes |
Addresses
Primary practice location
475 Kilvert St # 2
Warwick, RI 02886-1379
Mailing address
10 Tripps LN
Riverside, RI 02915-3014
Other providers in Warwick, RI
- Georgette Louise Brule
- Heather G Brunelli
- Cassandra Bruzdzinski
- Anthony G Bruzzese
- Jessica A Bucci
- Mary E Buckley
- Shea Taylor Buckley
- Brenda Bullinger
- Susan Buntz
- Amy Buonaccorsi
All providers in Warwick, RI · Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.