NPIMap

Individual provider Active NPI

Rebecca Lee Buckalew, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1649635079
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-100474 Issued in AL
Practice address
470 Taylor Rd Ste 310
Montgomery, AL 36117-7130
Phone
(334) 747-4322
Fax
(334) 747-4321
NPI assigned
Dec 30, 2015
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-100474 AL Primary

Addresses

Primary practice location

470 Taylor Rd Ste 310
Montgomery, AL 36117-7130

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717003254 AL Practitioner - Nurse Practitioner 0446507800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

470 Taylor Rd
Suite 310
Montgomery, AL 36117-7130
Phone (334) 747-4322

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Nurse Practitioner Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Nov 14, 2018 Accepting new patients
Community Hospital Inc Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 7, 2020 Accepting new patients
Michael a Courtney, M.D. CurrentSince Mar 9, 2019 Accepting new patients
Jackson Hospital and Clinic Inc CurrentSince Nov 14, 2018 Accepting new patients
Community Hospital Inc CurrentSince Mar 9, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 7, 2020 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
Global Imaging Specialists, LLC PastSince Jan 1, 2018 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1758 Park Pl
Ste 401
Montgomery, AL 36106
Phone (334) 240-6700

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4250 Carmichael Ct N
Montgomery, AL 36106
Phone (334) 593-9091

470 Taylor Rd
Ste 310
Montgomery, AL 36117
Phone (334) 244-4322

80 Herren Hill Rd
Ste F
Tallassee, AL 36078
Phone (334) 283-3896

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1649635079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TAYLOR RD STE 310",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177130",
            "telephone_number": "334-747-4322",
            "fax_number": "334-747-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKALEW",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-100474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.