Matthew Steven Buckner, MAT, LAT, ATC, C-PS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A161199392 Issued in WA

Practice address

300 W Hawthorne Rd
Spokane, WA 99251-2515

Phone

(509) 777-4764

NPI assigned

Jul 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1508387176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031874",
            "telephone_number": "406-600-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HAWTHORNE RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992512515",
            "telephone_number": "509-777-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "credential": "MAT, LAT, ATC, C-PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "11357098-4810",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A161199392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Yvette Buckles, LICSW
• Angelia Marie Buckles
• Karen Y Bucklin
• Alivia Elizabeth Buckner
• Erica V Buckner, B.A., M.S.W.
• Christy R Budd, LMT
• Olivia Rachelle Budde, MS
• Joshua David Budik
• Blake Andrew Budke
• Judy Lynn Budrow

• Athletic Trainer in Spokane, WA
• Providers in Spokane, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.