Jackie Lynn Buechele, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.131543.MEDS Issued in OH

Practice address

12409 Lorain Ave Ste B
Cleveland, OH 44111-3515

Phone

(216) 252-6670

NPI assigned

Mar 21, 2019

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

State licenses

Practice roles

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.

• Priority Health Care, Inc

  dba Peak Health Services, LLC

  • Specialist
  • Cleveland, OH
  • NPI 1871149898
  NPD (past) Authorized official

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1649730151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 LORAIN AVE STE B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113515",
            "telephone_number": "216-252-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 LORAIN AVE STE B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113515",
            "telephone_number": "216-252-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECHELE",
        "first_name": "JACKIE LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN093337L",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.131543.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karthik S Budharaju
• Adele Sandra Budiansky, MD, FRCPC
• Michelle Rose Budroe, BA
• Stefan K Budz, LSW
• Ryan Gerard Budziak, PA-C
• Madeline Buehler, DO
• Jennifer Leigh Buehner, APRN
• Johnna Louise Buenaventura, BA
• Jillian Nancy-Grace Bueno, LISW-S
• Douglas Jeffrey Buethe, M.D.

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.