Active NPI
Christine Clara Buckley
- Family Nurse Practitioner
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336832-1
- Practice address
- 826 Washington St Ste 106
Watertown, NY 13601-4071 - Phone
- (315) 786-2000
- Fax
- (315) 786-2899
- NPI assigned
- Jun 20, 2011
- Last updated
- Jul 26, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336832-1 | NY | Primary |
Addresses
Primary practice location
826 Washington St Ste 106
Watertown, NY 13601-4071
Mailing address
826 Washington St Ste 106
Watertown, NY 13601-4071
Phone (315) 786-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
900 Route 376
Suite H
Wappingers Falls, NY 12590-6496
Phone (845) 204-9260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336832-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Carthage Area Hospital Inc. | Current | Accepting new patients | |
| Apogee Medical Group, New York, PC | Current | Accepting new patients | |
| Samaritan Medical Practice, PC | Past | Accepting new patients | |
| James E. Willis MD PC | Past | Accepting new patients |
Locations
39 W Main St
Canton, NY 13617
Phone (315) 379-4700
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
515 Main St
Olean, NY 14760
Phone (716) 373-2600
1233 Arsenal St
Watertown, NY 13601
Phone (315) 221-5289
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
830 Washington St
#13282
Watertown, NY 13601
Phone (315) 785-4667
830 Washington St
Ste 106
Watertown, NY 13601
Phone (315) 785-7000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pulse-MD Urgent Care
- Urgent Care Clinic/Center
- Wappingers Falls, NY
- NPI 1821387382
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Physical Therapy Clinic/Center
- Philadelphia, NY
- NPI 1720299654
-
dba Cardiology Associates of NNY
- Cardiovascular Disease Physician
- Watertown, NY
- NPI 1558469247
-
- Surgery Physician
- Watertown, NY
- NPI 1124202619
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1932495876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 WASHINGTON ST STE 106",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014071",
"telephone_number": "315-786-2000",
"fax_number": "315-786-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 WASHINGTON ST STE 106",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014071",
"telephone_number": "315-786-2000",
"fax_number": "315-786-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "CHRISTINE",
"middle_name": "CLARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336832-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.