Individual provider Active NPI

Lana Bukley

  • Psychiatric/Mental Health Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1477066199
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00761700 Issued in NJ
Practice address
110 N Federal Hwy Ste 204
Hallandale Beach, FL 33009-4300
Phone
(954) 899-0808
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403604 NY
Primary Care Nurse Practitioner 363LP2300X 26NJ00761700 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00761700 NJ Primary

Addresses

Primary practice location

110 N Federal Hwy Ste 204
Hallandale Beach, FL 33009-4300

Mailing address

1350 15TH St Apt 15M
Fort Lee, NJ 07024-2030
Phone (908) 670-3322

Other names 1

  • Lana Bukley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604004287 FL Practitioner - Nurse Practitioner 4284054032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00761700NJMDPsychiatric/Mental Health Nurse Practitioner
403604NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athera Behavioral Health P.a. Psychiatric/Mental Health CurrentSince Apr 6, 2023 Accepting new patients
Gioconda Aesthetics Inc CurrentSince Oct 17, 2021 Accepting new patients
New York Psychiatric Services, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Hamilton Behavioral MD PA CurrentSince Jun 17, 2020 Accepting new patients
Sentinel Services Group Inc CurrentSince Apr 17, 2023 Accepting new patients
National Psychiatry, LLC CurrentSince May 6, 2025 Accepting new patients
Centra Medical Group, LLC PastSince Jun 17, 2020 Accepting new patients

Locations

110 N Federal Hwy
Ste 204
Hallandale Beach, FL 33009
Phone (954) 243-9093

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

300 Forest Ave
Paramus, NJ 07652
Phone (201) 490-5158

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

232 N Main St
Spring Valley, NY 10977
Phone (845) 286-2210

Interoperability endpoints

  • Direct secure messaging: lana.bukley.1@14267.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1477066199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 15TH ST APT 15M",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242030",
            "telephone_number": "908-670-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY STE 204",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "954-899-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKLEY",
        "first_name": "LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403604",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00761700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00761700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "BUKLEY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.