Daneisha Q Buckles

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

837 Decatur St
Ponchatoula, LA 70454-9715

Phone

(504) 236-5114

NPI assigned

Nov 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Accurate Check Screening & Lab

  • Phlebology Physician
  • La Place, LA
  • NPI 1245926740
  NPD Authorized official

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1669295481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 DECATUR ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704549715",
            "telephone_number": "504-236-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 DECATUR ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704549715",
            "telephone_number": "504-236-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "DANEISHA",
        "middle_name": "Q",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C. Breaux, LPC
• Jessica Marie Brignac, PHARMD
• Keyadda Brim
• April K Brown
• Falon Victoria Brown, D.O.
• Mariah Benson Butcher, FNP-C
• Pamela Ann Camp, RN, CCM
• Meagan Lindsey Canville, SLP
• Caring Heart Couseling Center, LLC
• Karen L Carter, DC

• Case Manager/Care Coordinator in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.