ANGELA D BUCKINGHAM (NPI# 1245678598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245678598 |
| Entity Type | Individual |
| Full Name | ANGELA D BUCKINGHAM |
| Credential | NP |
| Practice Address |
1203 Old Trolley Rd Ste F Summerville SC 29485-5296 |
| Practice Telephone | 8434860999 |
| Practice Fax Number | 8434860989 |
| Mailing Telephone | 8434860999 |
| Mailing Fax Number | 8434860989 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17755 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1531991 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9430 Park West Blvd, Suite 130, Knoxville, TN 379234200 | 8656904861 | 8655608525 |
| Street Address |
1203 OLD TROLLEY RD STE F |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-5296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174678221 | James Clayton Erickson | Chiropractor | 1203 Old Trolley Rd Ste F, Summerville, SC 29485-5296 | 2007-01-25 |
| 1891253522 | Roxanne Serohi | Nurse Practitioner | 1203 Old Trolley Rd Ste F, Summerville, SC 29485-5296 | 2019-03-12 |
| 1467831024 | Elizabeth F. Kekacs | Nurse Practitioner | 1203 Old Trolley Rd Ste F, Summerville, SC 29485 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1982245197 | Margot Lally | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2019-09-30 |
| 1457900748 | Brynne Mchale | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2019-09-09 |
| 1376050484 | Emily Calaman | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2018-01-10 |
| 1124573811 | Brandy Harris | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2016-08-23 |
| 1891159794 | Keyonna Williams | Nurse Practitioner | 1114 N Main St, Summerville, SC 29483-7326 | 2016-04-07 |
| 1881077253 | Cherika Stephanie Gadson | Nurse Practitioner | 87 Springview Ln, Summerville, SC 29485 | 2015-07-03 |
| 1629456983 | Richard Kidd | Nurse Practitioner | 602 Main Street, Summerville, SC 29483-6627 | 2015-05-07 |
| 1578639811 | Eileen M Neilan-snee | Nurse Practitioner | 1595 Central Ave, Summerville, SC 29483-5529 | 2006-11-28 |
| 1023023827 | Caroline M Yerich | Nurse Practitioner | 435 N Cedar St, Summerville, SC 29483-6407 | 2006-07-30 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.