Kirstin Ann Buck, BAN, RN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2459165 Issued in MN

Practice address

671 Vandalia St
Saint Paul, MN 55114-1312

Phone

(651) 698-2406

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1467277905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 THOREAU DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373650",
            "telephone_number": "507-301-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-698-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "KIRSTIN",
        "middle_name": "ANN",
        "credential": "BAN, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2459165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Brye, LGSW
• Alexander Joseph Buchard
• James Edward Buchli, OD
• Amy Buck
• Kathryn Anne Buck, PTA
• Katie Bucka, RN, CPNP
• Kirsten Buckingham, PHD
• Lisa D Buckingham, DDS
• Elaine Jayne Catherine Buckley, MD
• Kate Meriwether Buckley, MSW LICSW

• Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.