ANDREA BUCKINGHAM
NPI 1306713391
Dietitian, Registered in Kalispell, MT

Active since October 22, 2025
430 WINDWARD WAY STE 100, KALISPELL, MT 59901(406) 758-1867 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Buckingham NPPES

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

ANDREA BUCKINGHAM (NPI 1306713391) is an individual dietitian, registered in Kalispell, Montana, licensed in Montana (59718) and active in the NPI registry since October 2025. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1306713391
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA BUCKINGHAM
Location Address430 WINDWARD WAY STE 100Kalispell, MT 59901-2619
Mailing Address745 E Oregon StKalispell, MT 59901-3206
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 22, 2025
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1306713391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in MT · 59718
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

430 WINDWARD WAY STE 100, Kalispell, MT 59901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Buckingham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254809635
PECOS Enrollment IDI20260504007694

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Clinic/Center
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Dietitian, Registered
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Clinic/Center
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Clinic/Center (Multi-Specialty)
430 WINDWARD WAY STE 100
KALISPELL, MT 59901

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 Andrea Buckingham's NPI number?

The NPI number for Andrea Buckingham is 1306713391. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Andrea Buckingham located?

Andrea Buckingham practices at 430 Windward Way Ste 100, Kalispell, MT 59901. The listed phone number is (406) 758-1867.

What is Andrea Buckingham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Buckingham enrolled in Medicare?

Yes. Andrea Buckingham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Buckingham was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.