MS. KACEY RAE BUCKNER LOPEZ (NPI# 1164892204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164892204 |
| Entity Type | Individual |
| Full Name | MS. KACEY RAE BUCKNER LOPEZ |
| Credential | P.A. |
| Practice Address |
3311 Prescott Rd Ste 202 Alexandria LA 71301-3983 |
| Practice Telephone | 3184420106 |
| Mailing Telephone | 3184420106 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
300080 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3311 PRESCOTT RD STE 202 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104984293 | Louisiana Cardiovascular & Thoracic Institute, LLC | Specialist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2006-12-04 |
| 1104471325 | Amanda B Scully | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-08-05 |
| 1356900716 | Cydnie Cooper Plaisance | Nurse Practitioner | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-06-10 |
| 1588155006 | Courtnie Clark Graves | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-05-21 |
| 1104323989 | Jeremy Lynn Brazzell | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-04-09 |
| 1043715212 | Clayton Charles Roberts | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-03-28 |
| 1881065647 | Katie Van Hoof Peterson | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-19 |
| 1861808420 | Heath Nichols | Respiratory Therapist, Registered | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2014-07-03 |
| 1235576364 | John H Bowling | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-30 |
| 1568809747 | Troy J Pavlovich | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1699327932 | Hannah Madison Segal | Physician Assistant | 2805 Duke St, Alexandria, VA 22314-4512 | 2019-07-16 |
| 1922413905 | Robert Lewis Meadows | Physician Assistant | 3704 North Blvd, Ste C, Alexandria, LA 71301-3658 | 2014-06-27 |
| 1396174330 | Michael James Kunstle | Physician Assistant | 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 | 2013-11-08 |
| 1427337716 | Anna Fall Parten | Physician Assistant | 3351 Masonic Dr, Alexandria, LA 71301-3842 | 2011-08-04 |
| 1285955146 | Theodore E Temoshchuk | Physician Assistant | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2010-06-15 |
| 1841441995 | James Brian Broussard | Physician Assistant | 201 4th St, Alexandria, LA 71301-8421 | 2008-10-07 |
| 1952562886 | Jeanine Marie Gargiulo | Physician Assistant | 2501 Parkers Ln, Suite 200, Alexandria, VA 22306-3209 | 2008-06-23 |
| 1255523346 | Jamie Marie Wallace | Physician Assistant | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3900 | 2007-08-13 |
| 1790994812 | Terence Scott Crosby | Physician Assistant | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2007-05-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on MS. KACEY RAE BUCKNER LOPEZ.
| 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.