Lori K Buckley, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

249751 Issued in WI

Practice address

708 6TH St
Mosinee, WI 54455-1617

Phone

(970) 234-5684

NPI assigned

May 29, 2020

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

State licenses

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1740804392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 6TH ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551617",
            "telephone_number": "970-234-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 6TH ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551617",
            "telephone_number": "970-234-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LORI",
        "middle_name": "K",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "249751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bouton, DDS
• Samantha Boyce
• Jessica Braunel, OD
• Kristy J Brown, APNP
• Timothy Karl Brown, DDS
• Cedar Creek Dental Wi, S.C.
• Sharon E Chidsey, RN
• Clifford Chiropractic, Inc.
• Kate Kristen Creske, REGISTERED NURSE
• Crystal Training Institute, LLC

• Registered Nurse in Mosinee, WI
• Providers in Mosinee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.