| NPI | 1053587402 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-05-06 |
| Last Updated | 2021-12-29 |
| Mailing Address | 670 Pierce Blvd O Fallon, IL 62269-2579 United States Phone: (618) 206-2070 📍 View Map |
| Primary Practice Address | 670 Pierce Blvd O Fallon, IL 62269-2579 United States Phone: (618) 206-2070 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | IL | 209005545 |
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About NPI 1053587402
Amy Marie Buck APN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053587402. The primary specialty listed is Nurse Practitioner, Family. The provider is located in O Fallon, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-05-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053587402?
NPI 1053587402 belongs to Amy Marie Buck APN, a Nurse Practitioner, Family in O Fallon, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053587402 active?
The current status of NPI 1053587402 in the NPPES registry is Active. The record was last updated on 2021-12-29.
What specialty is NPI 1053587402?
NPI 1053587402 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053587402?
You can verify NPI 1053587402 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053587402?
The primary practice address on file for NPI 1053587402 is 670 Pierce Blvd, O Fallon, IL 62269-2579. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053587402 issued?
NPI 1053587402 was first issued (enumerated) on 2008-05-06. The NPPES record was last updated on 2021-12-29.
Practice Location Map
Amy Marie Buck is located at 670 Pierce Blvd, O Fallon, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Amy Marie Buck. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053587402. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 209005545 | IL |