Individual provider Active NPI

Danielle Bucken

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1750718383
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2424 Issued in TN
Practice address
7000 Lee Hwy Ste 600
Chattanooga, TN 37421-6729
Phone
(423) 894-0432
Fax
(423) 894-0475
NPI assigned
Sep 27, 2013
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2424 TN Primary

Addresses

Primary practice location

7000 Lee Hwy Ste 600
Chattanooga, TN 37421-6729

Mailing address

7000 Lee Hwy Ste 600
Chattanooga, TN 37421-6729
Phone (423) 894-0432

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523001652 TN Practitioner - Physician Assistant 1759504566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

306 Cherokee Blvd
Suite 108
Chattanooga, TN 37405-3811
Phone (423) 259-5997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiology Consultants PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1750718383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 LEE HWY STE 600",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216729",
            "telephone_number": "423-894-0432",
            "fax_number": "423-894-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 LEE HWY STE 600",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216729",
            "telephone_number": "423-894-0432",
            "fax_number": "423-894-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKEN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.