Individual provider Active NPI

Gertrude E Buckley, APRN

  • Nurse Practitioner
  • Peterborough, NH
National Provider Identifier
1831218338
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
021864-23 Issued in NH
Practice address
452 Old Street Rd
Peterborough, NH 03458-1295
Phone
(603) 924-7191
Fax
(603) 924-9586
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 021864-23 NH Primary
Occupational Health Clinical Nurse Specialist 364SX0106X 021864-23-05 NH

Addresses

Primary practice location

452 Old Street Rd
Peterborough, NH 03458-1295

Mailing address

452 Old Street Rd
Peterborough, NH 03458-1295
Phone (603) 924-7191

Other practice location 1

1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Phone (603) 775-7575

Other practice location 2

590 Court Street
Dartmouth Hitchcock - Occupational Medicine
Keene, NH 03431
Phone (603) 354-5400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
021864-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1831218338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581295",
            "telephone_number": "603-924-7191",
            "fax_number": "603-924-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581295",
            "telephone_number": "603-924-7191",
            "fax_number": "603-924-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hampton Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038334848",
            "country_code": "US",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Court Street",
            "address_2": "Dartmouth Hitchcock - Occupational Medicine",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "03431",
            "country_code": "US",
            "telephone_number": "603-354-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "GERTRUDE",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "021864-23",
            "primary": true
        },
        {
            "code": "364SX0106X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": "NH",
            "license": "021864-23-05",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.