DEMETRIA BUCKNER (NPI# 1346581949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346581949 |
Entity Type | Individual |
Full Name | DEMETRIA BUCKNER |
Credential | BS HEALTH SCIENCES |
Practice Address |
5901 Walsham Way Indianapolis IN 46254-2327 |
Mailing Address |
Po Box 531338 Indianapolis IN 46253-1338 |
Practice Telephone | 3175097674 |
Mailing Telephone | 3175097674 |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
N | 172V00000X | Community Health Worker | Other Service Providers | ||
N | 174H00000X | Health Educator | Other Service Providers |
Street Address |
5901 WALSHAM WAY |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254-2327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
Find all providers in zip 46254 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750791786 | Trinette Clark | Technician, Pathology | 3246 Orchard Ave, Indianapolis, IN 46218-1937 | 2014-04-29 |
1184913477 | Anastacio S Meza | Technician, Pathology | 8433 Harrion Dr, Indianapolis, IN 46226-2034 | 2011-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255939419 | Milcah Robinson | Technician, Pathology | 6091 Lute Rd Apt 103, Portage, IN 46368-5021 | 2020-10-11 |
1679194674 | Brandi Yancey | Technician, Pathology | 11807 Allisonville Rd # 627, Fishers, IN 46038-2313 | 2020-04-30 |
1124457791 | Shonta Edmond | Technician, Pathology | 333 E 60th Dr, Merrillville, IN 46410-3011 | 2013-11-05 |
1386281426 | Autumn Marie Murphy | Technician, Pathology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
1811441470 | Christy Dawn Marshall | Technician, Pathology | 421 Walnut St, Madison, IN 47250-3565 | 2016-08-11 |
1790144947 | Good Samaritan Hospital | Technician, Pathology | 615 Dubois St, Vincennes, IN 47591-1048 | 2016-02-16 |
1376900985 | Good Samaritan Hospital | Technician, Pathology | 510 W 11th St, Bicknell, IN 47512-9626 | 2016-01-27 |
City | INDIANAPOLIS |
Zip Code | 46254 |
Please comment or provide details below to improve the information on DEMETRIA BUCKNER.
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.