Individual provider Active NPI

Lyndi Wolfe Buckley, RN

  • Community Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1891423703
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
436189 Issued in OH
Practice address
255 E Main St Ste B
Columbus, OH 43215-5222
Phone
(614) 722-8222
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 436189 OH Primary

Addresses

Primary practice location

255 E Main St Ste B
Columbus, OH 43215-5222

Mailing address

255 E Main St Ste 2B
Columbus, OH 43215-5222
Phone (614) 722-8222

Other identifiers 1

IdentifierTypeStateIssuer
0002552MedicaidOH

Other names 1

  • Lyndi Nelson Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
436189OHMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital Community Health CurrentSince Nov 13, 2022 Accepting new patients
Nationwide Children'S Hospital PastSince Oct 30, 2022 Accepting new patients

Locations

255 E Main St
Ste 2B
Columbus, OH 43215
Phone (614) 722-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1891423703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E MAIN ST STE 2B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155222",
            "telephone_number": "614-722-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E MAIN ST STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155222",
            "telephone_number": "614-722-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LYNDI",
        "middle_name": "WOLFE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "436189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDI",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.