Dara Joan Buckendahl, RN, BSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

62453 Issued in NE

Practice address

5130 Colfax Ave
Lincoln, NE 68504-1751

Phone

(402) 436-1211

Fax

(402) 458-3211

NPI assigned

Feb 2, 2018

Sex

Female

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619476934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 COLFAX AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041751",
            "telephone_number": "402-436-1211",
            "fax_number": "402-458-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COLFAX AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041751",
            "telephone_number": "402-436-1211",
            "fax_number": "402-458-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 S 75th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685164360",
            "country_code": "US",
            "telephone_number": "402-436-1153 x4",
            "fax_number": "402-458-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKENDAHL",
        "first_name": "DARA",
        "middle_name": "JOAN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NE",
            "license": "62453",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "62453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Buchta, APRN
• Janet Sue Buck, MS, RD, LMNT
• Julie Buck, ATC
• Shane Buck
• Melissa Buckbee, RN
• Deborah Sue Buckley
• John F Buckley, M.D.
• Kay-Lee Buckley
• Kelsey Elizabeth Buckley, D.D.S
• Kerstin Buckley

• School Registered Nurse in Lincoln, NE
• Providers in Lincoln, NE by specialty
• School Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.