MRS. DEBRA BUBACK RN, MSN, ANP
NPI 1154305076
Clinical Nurse Specialist - Medical-Surgical in Saint Louis, MO

Active since December 05, 2005
12855 N 40 DR, SUITE 375, SAINT LOUIS, MO 63141(314) 567-6071(314) 567-7961 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Debra Buback Rn, Msn, Anp NPPES

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

MRS. DEBRA BUBACK RN, MSN, ANP (NPI 1154305076) is an individual medical-surgical provider in Saint Louis, Missouri, licensed in Missouri (063206) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1154305076
Entity TypeIndividualFemale
Primary Taxonomy364SM0705X
Provider Legal NameMRS. DEBRA BUBACKCredential: RN, MSN, ANP
Location Address12855 N 40 DR, SUITE 375Saint Louis, MO 63141-8635
Mailing Address12855 N 40 Dr, Suite 375Saint Louis, MO 63141-8635 · (314) 567-6071 · Fax (314) 567-7961
Fax(314) 567-7961
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 8, 2008
NPI 1154305076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Medical-SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SM0705X
License Licensed in MO · 063206
12855 N 40 DR, Saint Louis, MO 63141

Other Identifiers 2

Medicare UPINP90315MO
Other154193MO · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Medical Specialty)
12855 N 40 DR, SUITE 275
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
Anesthesiology
12855 N 40 DR, SUITE 275
SAINT LOUIS, MO 63141
Registered Nurse
12855 N 40 DR, SUITE 100
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
Clinic/Center (Medical Specialty)
12855 N 40 DR, SUITE 205
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Buback's NPI number?

The NPI number for Debra Buback is 1154305076. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Debra Buback located?

Debra Buback practices at 12855 N 40 Dr Suite 375, Saint Louis, MO 63141. The listed phone number is (314) 567-6071.

What is Debra Buback's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Medical-Surgical, with taxonomy code 364SM0705X.

When was this NPI record last updated?

The NPPES record for Debra Buback was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.