Active NPI
Wendy Wakefield Buzzard, ANP, WHCNP, B.C.
- Adult Health Nurse Practitioner
- Fort Campbell, KY
National Provider Identifier
1750452280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 12355
- Practice address
- 650 Joel Drive
Bach
Fort Campbell, KY 42223 - Phone
- (270) 798-8700
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 12355 | TN | Primary |
Addresses
Primary practice location
650 Joel Drive
Bach
Fort Campbell, KY 42223
Mailing address
393 Fernvale Court
Clarksville, TN 37043-5763
Phone (931) 551-5172
Other names 1
- Miss Wendy Buzzard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140512001463 | TN | Order and Referring Only - Nurse Practitioner | 6901971670 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967
Hospital & facility affiliations
- Amedisys Home Health
- Vanderbilt Clarksville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12355 | TN | MD | Pharmacist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brentwood, TN
- NPI 1972551794
-
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1750452280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 FERNVALE COURT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435763",
"telephone_number": "931-551-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DRIVE",
"address_2": "BACH",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZZARD",
"first_name": "WENDY",
"middle_name": "WAKEFIELD",
"name_prefix": "Mrs.",
"credential": "ANP, WHCNP, B.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "12355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "BUZZARD",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.