Sherryll Rose Marie Bucknol, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

823208 Issued in NY

Practice address

407 Beach 20TH St Apt 4G
Far Rockaway
Far Rockaway, NY 11691-3638

Phone

(646) 500-2533

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sherryll Bucknol Professional name

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1811398316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BEACH 20TH ST APT 4G",
            "address_2": "FAR ROCKAWAY",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913638",
            "telephone_number": "646-500-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BEACH 20TH ST APT 4G",
            "address_2": "FAR ROCKAWAY",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913638",
            "telephone_number": "646-500-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNOL",
        "first_name": "SHERRYLL",
        "middle_name": "ROSE MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318913-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "823208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRYLL",
            "last_name": "BUCKNOL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra Brumsey, RN
• Judith Myrna Brun, LCSW
• Antonella Brunetti
• Samantha Bua, CCC-SLP
• Jonathan Buchsbayew, LCSW
• Daniel Buff, MD
• Isaac Elijah Buff, DO
• Bumble & Tumble Occupational Therapy P.C.
• Gabriela Buniowska, DO
• Diana Burgrave, LCSW R

• Registered Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.