IndividualActive
Mary Buckhannon, LICENCED PRACTICAL N
NPI 1467164996 · Licensed Practical Nurse · Gassaway, WV
Mary Buckhannon, LICENCED PRACTICAL N is a Licensed Practical Nurse provider in Gassaway, WV (NPI 1467164996).
Provider details
- NPI number
- 1467164996
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LICENCED PRACTICAL N
- Sex
- Female
- Sole proprietor
- No
- License
- 24535 (WV)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
64 State St
Gassaway, WV 26624-1132
Phone: (304) 364-1063
Street-level locationGet directions
Mailing address
64 State St
Gassaway, WV 26624-1132
Registry dates
- Enumerated
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Mary Buckhannon's NPI number?
- Mary Buckhannon's National Provider Identifier (NPI) is 1467164996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Buckhannon's specialty?
- Mary Buckhannon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Mary Buckhannon located?
- Mary Buckhannon's practice location on file with NPPES is 64 State St, Gassaway, WV 26624-1132.
- What is Mary Buckhannon's phone number?
- The practice phone number listed in the NPPES registry for Mary Buckhannon is (304) 364-1063.
- Is Mary Buckhannon's NPI active?
- Yes — Mary Buckhannon's NPI (1467164996) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.