Individual provider Active NPI

Rena Sharnette Buckkey

  • Nurse's Aide
  • Olive Branch, MS
National Provider Identifier
1487595955
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
00211982 Issued in TN
Practice address
8808 Bell Ridge Dr
Olive Branch, MS 38654-6222
Phone
(662) 444-5066
NPI assigned
Apr 1, 2026
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X 00211982 TN Primary

Addresses

Primary practice location

8808 Bell Ridge Dr
Olive Branch, MS 38654-6222

Mailing address

8808 Bell Ridge Dr
Olive Branch, MS 38654-6222
Phone (662) 444-5066

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
00211982TNMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1487595955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 BELL RIDGE DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546222",
            "telephone_number": "662-444-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 BELL RIDGE DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546222",
            "telephone_number": "662-444-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKKEY",
        "first_name": "RENA",
        "middle_name": "SHARNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "00211982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.