NAQUIELA BUCKNER I (NPI# 1033655568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033655568 |
Entity Type | Individual |
Full Name | NAQUIELA BUCKNER I |
Credential | CMA |
Practice Address |
1780 Vernon St Roseville CA 95678-6311 |
Practice Telephone | 9167821111 |
Mailing Telephone | 9167821111 |
Enumeration Date | 2017-01-08 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
APCC7878 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | AMFT119229 | CA | Behavioral Health & Social Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1444 Florida Ave, Modesto, CA 953504400 | 2096618840 | 2096614840 |
Street Address |
1780 VERNON ST |
City | ROSEVILLE |
State | CA |
Zip Code | 95678-6311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
Find all providers in zip 95678 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999629 | Cedar Rose Lundgren | Counselor | 1611 County Road B W Ste 204, Roseville, MN 55113-4053 | 2020-07-16 |
1720645443 | Michele Marie Villarreal | Counselor | 720 Sunrise Ave Ste 200c, Roseville, CA 95661-4508 | 2019-05-29 |
1346803038 | Anna D Scanlan | Counselor | 1711 County Road B W Ste 108s, Roseville, MN 55113-4036 | 2019-04-17 |
1356804702 | Ronald Ramsey | Counselor | 30581 Hidden Pines Ln # 30581, Roseville, MI 48066-7301 | 2019-04-12 |
1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
1104384825 | Gene H Burns | Counselor | 300 Harding Blvd Ste 116c, Roseville, CA 95678-2472 | 2019-03-12 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1043775109 | Ryan Jibson | Counselor | 420 Folsom Rd Ste D, Roseville, CA 95678-2767 | 2019-02-04 |
1649745837 | Courtney Jean Smith | Counselor | 257 Cedar St, Roseville, CA 95678-2539 | 2018-10-04 |
1174072979 | Sarah Champany | Counselor | 1830 Sierra Gardens Dr., Roseville, CA 95661 | 2016-09-22 |
Find all providers in ROSEVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.