MICHELLE BUCKMAN


Address: 312 Brookside Ave, Redlands, CA 92373-4608
Phone: 7604083069

MICHELLE BUCKMAN (NPI# 1295365955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295365955
Entity Type Individual
Full Name MICHELLE BUCKMAN
Credential RN, PMHNP-BC
Practice Address 312 Brookside Ave
Redlands
CA 92373-4608
Mailing Address 25885 Amapolas St
Loma Linda
CA 92354-2503
Practice Telephone 7604083069
Mailing Telephone 7604083069
Enumeration Date 2020-01-22
Last Update Date 2020-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95011953 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE BUCKMAN

NPI Name Taxonomy Address Enumeration
1366986697 Michelle Lynn Buckman Counselor 235 Main St, Norway, ME 04268-5943 2016-12-06

Office Location

Street Address 312 BROOKSIDE AVE
City REDLANDS
State CA
Zip Code 92373-4608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386849339 Kelly Blue Psychiatry & Neurology 312 Brookside Ave, Redlands, CA 92373-4608 2007-06-19
1467915959 Rojean Lorraine Talmadge Marriage & Family Therapist 312 Brookside Ave, Redlands, CA 92373-4608 2019-04-11
1952703282 Optimal Movement Physical Therapy LLC Clinic/Center 312 Brookside Ave, Redlands, CA 92373-4608 2014-09-18
1891927547 Laura J. Hodge Psychologist 312 Brookside Ave, Redlands, CA 92373-4608 2009-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473422 Mindfulness Counseling Services Marriage & Family Therapist 101 E. Redlands, Suite 170a, Redlands, CA 92373 2020-09-24
1710596721 Vandna Mittal Counselor 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 2020-07-26
1164062345 Sara Bencoe Nurse Practitioner 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 2020-01-15
1033604103 John Duane Wuchenich Anesthesiology 451 Summit Avenue, Redlands, CA 92373 2018-06-29
1013401074 Adept Hospice Care Hospice Care, Community Based 515 New Jersey St., Suite G, Redlands, CA 92373 2018-06-21
1134616121 Rodrigo Robles Student in an Organized Health Care Education/Training Program 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 2018-04-16
1760987614 Redlands Endodontics Dentist 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 2018-03-23
1487164166 Tyler Stafford Behavioral Analyst 1467 Ford St. Suite 104, Redlands, CA 92373 2017-10-06
1083131486 Shannon Palmowski Behavioral Analyst Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 2017-08-25
1275062622 Erim Sarbuland Marriage & Family Therapist 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 2017-06-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982220588 Elma M Slough Nurse Practitioner 461 Tennessee St, Redlands, CA 92373-8167 2020-06-19
1972139020 Gaea Jamine Umali Nurse Practitioner 461 Tennessee St, Redlands, CA 92373-8167 2020-03-20
1144867409 Marilyn Loretta Tidwell -shoemaker Nurse Practitioner 1809 W Redlands Blvd, Redlands, CA 92373-8054 2019-12-05
1356985113 Janae Michelle Cox Nurse Practitioner 1902 Orange Tree Ln Ste 200, Redlands, CA 92374-2800 2019-11-04
1710544242 Kelechi Ugonna Olukaikpe Ogom Nurse Practitioner 1809 W Redlands Blvd, Redlands, CA 92373-8054 2019-05-21
1992280531 Louis Lennart Kho Qui Nurse Practitioner 1971 Essex Ct, Redlands, CA 92373-8057 2018-09-29
1679071153 Shou Wang Nurse Practitioner 26001 Redlands Blvd, Redlands, CA 92373-7762 2018-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154573 Marcus Jang Nurse Practitioner 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 2020-11-04
1033718580 John Sylvanus Allieu Sr. Nurse Practitioner 2672 Merganser Ct, Los Banos, CA 93635-9473 2020-10-25
1316546930 Chika U Oguagha Nurse Practitioner 16240 Carmine St, Fontana, CA 92336-1481 2020-10-23
1215534888 Rosa Maria Aguero Nurse Practitioner 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 2020-10-06
1134726995 Margarita Maghtesyan Nurse Practitioner 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 2020-10-05
1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
1477167666 David Joseph Russell Nurse Practitioner 17846 Glenwood Rd, Manteca, CA 95336-9521 2020-09-03
1194339382 Albert Liu Nurse Practitioner 43559 Southerland Way, Fremont, CA 94539-5931 2020-09-03
1407469554 Andre Alexandrian Nurse Practitioner 1606 Winona Ave, Burbank, CA 91504-2823 2020-08-28
1790398238 Heather Richardson Nurse Practitioner 112 S Park St Ste 1, San Francisco, CA 94107-1809 2020-08-25
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Competitor

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City REDLANDS
Zip Code 92373

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Dataset Information

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.

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