Thyra Isela Buchanan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN189171 Issued in GA

Practice address

601 Professional Dr Ste 370
Lawrenceville, GA 30046-7670

Phone

(678) 869-5145

Fax

(678) 869-5148

NPI assigned

Nov 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Abundant Life Healthcare

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
  • NPI 1679875173
  NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1851935548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR STE 370",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467670",
            "telephone_number": "678-869-5145",
            "fax_number": "678-869-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR STE 370",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467670",
            "telephone_number": "678-869-5145",
            "fax_number": "678-869-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "THYRA",
        "middle_name": "ISELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eClinicals",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "601 Professional Dr Ste 370",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300467670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claudette Bryant, PA
• Ivory Myrick Bryant, M.S., CCC-SLP
• Marcia Bryant
• Kunal B Buch, M.D.
• Stacy B Buchanan, RN, MS, CPNP
• Buckhead Psychiatry Services, LLC
• Ryan Budwany, MD
• Keith Edward Buggs, DDS
• Dan H Bui, NP
• Lin Thi Bui, CAA

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.