Elise Buckwalter

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

R230796 Issued in MD

Practice address

22 S Greene St
Baltimore, MD 21201-1544

Phone

(484) 888-1311

NPI assigned

Dec 14, 2017

Last updated

Dec 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1699281576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLTS MEADOW RUN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351886",
            "telephone_number": "484-888-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "484-888-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKWALTER",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MD",
            "license": "R230796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ann Buckley
• Timothy Anthony Buckley, MD
• Miesha Buckner, PHARMD.
• Robin Buckner
• Britney Erica Buckson, LCSW-C
• Susan P Buczkowski, MSW
• Joshua P Budai, DPT
• Casey L Budd
• Dejan B Budimirovic, MD
• Alyssa Budros

• Critical Care Pediatric Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Critical Care Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.