Charlie Buckley

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

01085069 Issued in CO

Legal business name

CHARLIE BUCKLEY

Practice address

3588 E State Highway 60
Loveland, CO 80537-8255

Phone

(970) 667-4883

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Charlie Buckley, CCC-SLP

Title

Speech Language Pathologist

Phone

(970) 667-4883

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Charlie Marie Buckley

  • Speech-Language Pathologist
  • Loveland, CO
  • NPI 1649596685
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1699927749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 E STATE HIGHWAY 60",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378255",
            "telephone_number": "970-667-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3588 E STATE HIGHWAY 60",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378255",
            "telephone_number": "970-667-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE BUCKLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "970-667-4883",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": "01085069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Loveland, CO
• Providers in Loveland, CO by specialty
• Early Intervention Provider Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.