NPIMap

Individual provider Active NPI

Allison Marie Buckingham, NP

  • Nurse Practitioner
  • Lebanon, NH
National Provider Identifier
1629337654
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111374-23 Issued in NH
Practice address
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone
(603) 448-3121
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209009533 IL
Nurse Practitioner 363L00000X 101.0136538 VT
Nurse Practitioner 363L00000X 111374-23 NH Primary

Addresses

Primary practice location

10 Alice Peck Day Dr
Lebanon, NH 03766-2900

Mailing address

912 S Wood St
Chicago, IL 60612-4300

Other practice location 1

912 S Wood St
Chicago, IL 60612-4300
Phone (197) 887-7078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VT, NH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121015000613 IL Practitioner - Nurse Practitioner 8729238456 Reassigns benefits to 1 organization
I20240124001324 VT Practitioner - Nurse Practitioner 8729238456 Reassigns benefits to 1 organization
I20260402000089 NH Practitioner - Nurse Practitioner 8729238456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Peck Day Memorial HospitalGroup PAC ID 6103737531, 132 clinicians

Practice addresses (Care Compare)

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009533ILMDNurse Practitioner
111374-23NHMDNurse Practitioner
101.0136538VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Mar 22, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 22, 2017 Accepting new patients
Collaborative Anesthesia Partners CurrentSince Nov 22, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

400 10th St E
Waconia, MN 55387

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: ablood16900@uihealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1629337654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662900",
            "telephone_number": "603-448-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124300",
            "country_code": "US",
            "telephone_number": "197-887-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009533",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0136538",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "111374-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.