Feven Zegeye Bucklew, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1045873 Issued in TX

Practice address

979 N Cooper St
Arlington, TX 76011-5783

Phone

(817) 625-4254

Fax

(817) 378-0861

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Feven Zegeye Habterufael Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: feven.bucklew@160177656168452.direct.elationemr.com

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.

• Centrum Medical Group, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1043963317
  NPD (past)
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Katy, TX
  • NPI 1376219543
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1508436718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 STRATFORD DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215321",
            "telephone_number": "318-393-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115783",
            "telephone_number": "817-625-4254",
            "fax_number": "817-378-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEW",
        "first_name": "FEVEN",
        "middle_name": "ZEGEYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEVEN",
            "last_name": "HABTERUFAEL",
            "middle_name": "ZEGEYE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaylyn Bryner, PMHNP-BC
• Btdi JV LLP
• Btdi JV LLP
• Natasha Maria Bubeck, MSN, FNP-BC
• Kevin Bubel, MD
• Shawna Marie Buckley, FNP-C
• Marylie Buckoski, NP
• Aamir Budhani, D.M.D.
• Amber Marie Buechele, PA-C
• Buena Vida Family Center

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.