Zachary Tyler Buckner, BSN-RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

232066 Issued in SC

Practice address

1278 N Lafayette Dr
Sumter, SC 29150-2964

Phone

(803) 774-4500

Fax

(803) 774-4626

NPI assigned

Sep 18, 2018

Sex

Male

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

State licenses

Interoperability endpoints

• Direct secure messaging: zachary.buckner.1@13095.direct.athenahealth.com

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1467936336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 N LAFAYETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502964",
            "telephone_number": "803-774-4500",
            "fax_number": "803-774-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 N LAFAYETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502964",
            "telephone_number": "803-774-4500",
            "fax_number": "803-774-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "ZACHARY",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "BSN-RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "232066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Brewer Brunson, OTR/L
• Candice Patrice Bryant, BSN,RN
• Tia D. Buchanan, DMIN., LCCC, NCC, LP
• Stephen Gregory Buck, O.D.
• Leanne Sheedy Buckner, M.ED., LPC
• Roxana Buda, DPT
• Temisha H Budden, PA
• Megan Leigh Buddin, PTA
• Building Strengths Counseling Services LLC
• Tyler W Bunting

• Diabetes Educator Registered Nurse in Sumter, SC
• Providers in Sumter, SC by specialty
• Diabetes Educator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.