GENEVIEVE THERESE BUCKLEY FNP-C
NPI 1104163484
Nurse Practitioner in Grass Valley, CA

Q: What is Genevieve Buckley's NPI number?

The NPI number for Genevieve Buckley is 1104163484. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Q: What is Genevieve Buckley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Genevieve Buckley was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 07, 2013

280 SIERRA COLLEGE DR STE 120, GRASS VALLEY, CA 95945(530) 477-4480 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Genevieve Therese Buckley Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENEVIEVE THERESE BUCKLEY FNP-C (NPI 1104163484) is an individual nurse practitioner in Grass Valley, California, licensed in California (22688) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1104163484

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameGENEVIEVE THERESE BUCKLEYCredential: FNP-C

Location Address280 SIERRA COLLEGE DR STE 120Grass Valley, CA 95945-5763

Mailing Address3400 Data Dr, Attn: Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956

Phone(530) 477-4480

Sole ProprietorNo

Enumeration DateJanuary 7, 2013

Last NPPES UpdateAugust 17, 2017

✔ NPI 1104163484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 22688

Definition

(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.

280 SIERRA COLLEGE DR STE 120, Grass Valley, CA 95945

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIHIR DEEPAK SURA MD

Hospitalist