Individual provider Active NPI

Diane Marie Buckstine, LPN

  • Licensed Practical Nurse
  • Brewster, NY
National Provider Identifier
1477051886
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
286856 Issued in NY
Practice address
2050 Route 22 Ste 101
Brewster, NY 10509-5949
Phone
(845) 279-2323
Fax
(845) 278-2115
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
286856NYMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 286856 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

2050 Route 22 Ste 101
Brewster, NY 10509-5949

Mailing address

2050 Route 22 Ste 101
Brewster, NY 10509-5949
Phone (845) 279-2323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2018.

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1477051886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ROUTE 22 STE 101",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095949",
            "telephone_number": "845-279-2323",
            "fax_number": "845-278-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ROUTE 22 STE 101",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095949",
            "telephone_number": "845-279-2323",
            "fax_number": "845-278-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKSTINE",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "286856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.