GARRETT BUCKNER (NPI# 1588229819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588229819 |
| Entity Type | Individual |
| Full Name | GARRETT BUCKNER |
| Credential | BA, MA |
| Practice Address |
299 Hallock Ave Port Jeff Sta NY 11776-1217 |
| Mailing Address |
19 Thunder Rd Holbrook NY 11741-4423 |
| Practice Telephone | 3147344284 |
| Mailing Telephone | 6315131324 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
299 HALLOCK AVE |
| City | PORT JEFF STA |
| State | NY |
| Zip Code | 11776-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780693 | Nicole Berry | Occupational Therapist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2020-11-05 |
| 1669027447 | Jacqueline Fuentes | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-08-07 |
| 1235798836 | Kendra H. Segelken | Speech-Language Pathologist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-06-07 |
| 1174081293 | Leanne Schreiber | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-03-07 |
| 1447717228 | Christiana Kehinde Ayanfodun | Behavior Technician | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-02-27 |
| 1528525821 | Lauren Lagarde | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-02-23 |
| 1205391869 | Lauren Rachael Kanaskie | Occupational Therapist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-02-07 |
| 1811471527 | Christine A Skobel Ehrlein | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2018-09-18 |
| 1912490699 | Sarah Huss | Social Worker | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2018-06-07 |
| 1982129573 | Alexis Michelle Weinberg | Speech-Language Pathologist | 299 Hallock Ave, Port Jeff Sta, NY 11776 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184186215 | Stacy Healy | Specialist | 12 Hart St, Port Jeff Sta, NY 11776-2716 | 2019-04-06 |
| 1063885283 | Meghan Marie Manginelli | Specialist | 128 Stuyvesant Dr, Port Jeff Sta, NY 11776-4227 | 2015-11-10 |
| 1265784169 | Melissa Turner | Specialist | 170 Bergen St, Port Jeff Sta, NY 11776-2602 | 2012-10-03 |
| 1699039958 | Angela Donadio | Specialist | 160 Stuyvesant Dr, Port Jeff Sta, NY 11776-4228 | 2012-07-01 |
| 1174081293 | Leanne Schreiber | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-03-07 |
| 1528525821 | Lauren Lagarde | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-02-23 |
| 1851751937 | Jamie Bunsis | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jeff Sta, NY 11776-2053 | 2016-03-02 |
| 1922465244 | Timothy Edwards | Specialist | 5 Farnham Pl, Port Jeff Sta, NY 11776-3412 | 2016-01-16 |
| 1669839080 | Tim Edwards | Specialist | 5 Farnham Pl, Port Jeff Sta, NY 11776-3412 | 2016-01-16 |
| 1497180350 | Michele Caren Boss | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jeff Sta, NY 11776-2053 | 2013-09-11 |
| Find all providers in PORT JEFF STA | ||||
| City | PORT JEFF STA |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on GARRETT 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.