Active NPI
Stacia B Buckner, LMFT, NCC
- Marriage & Family Therapist
- Key West, FL
National Provider Identifier
1801318092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3382
- Practice address
- 1205 4TH St
Key West, FL 33040-3707 - Phone
- (305) 834-0867
- Fax
- (305) 292-6723
- NPI assigned
- Jul 10, 2017
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3382 | NY | Primary |
Addresses
Primary practice location
1205 4TH St
Key West, FL 33040-3707
Mailing address
1210B Gilmore Dr
Key West, FL 33040-6710
Phone (615) 934-1092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3382 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1801318092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210B GILMORE DR",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330406710",
"telephone_number": "615-934-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 4TH ST",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330403707",
"telephone_number": "305-834-0867",
"fax_number": "305-292-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "STACIA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LMFT, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "3382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.