Individual provider Active NPI

Janet Buckley, A.R.N.P.

  • Pediatric Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1962473892
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP942492 Issued in FL
Practice address
621 Victoria St
Brandon, FL 33510-4313
Phone
(813) 655-0292
Fax
(813) 655-4302
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP942492 FL Primary

Addresses

Primary practice location

621 Victoria St
Brandon, FL 33510-4313

Mailing address

PO Box 2715
Brandon, FL 33509-2715
Phone (813) 655-0292

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

State licenses

LicenseStateTypeSpecialty
ARNP942492FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nadal Pediatrics, LLC Past Accepting new patients
De Brigard Pediatrics, P.a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbuckley@nadalpeds.opdirect.net

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1962473892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2715",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335092715",
            "telephone_number": "813-655-0292",
            "fax_number": "813-655-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 VICTORIA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104313",
            "telephone_number": "813-655-0292",
            "fax_number": "813-655-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "JANET",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP942492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.