Tara S Buckley, RD is a
Dietitian, Registered based in Fort Lewis, Washington. Tara S Buckley is licensed to practice in Texas (license number DT06716) and her current practice location is
Commander / Madigan Army Medical Center, Nutrition Care Division, Fort Lewis, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 968-0563.
NPI number for Tara S Buckley is 1467414979 and her current mailing address is 14843 Prairie Vista Loop Se, Yelm, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467414979.
Healthcare Provider's Profile
Full Name | Tara S Buckley |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Commander / Madigan Army Medical Center, Fort Lewis, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467414979
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 04/17/2008
Medical Identifiers
Medical identifiers for Tara S Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467414979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT06716 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara S Buckley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara S Buckley, RD 14843 Prairie Vista Loop Se, Yelm, WA 98597 Ph: (360) 557-4618 | Tara S Buckley, RD Commander / Madigan Army Medical Center, Nutrition Care Division, Fort Lewis, WA 98431 Ph: (253) 968-0563 |
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