What is Tequila Buckhanon's NPI number?

Tequila Buckhanon's National Provider Identifier (NPI) is 1477170777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tequila Buckhanon's specialty?

Tequila Buckhanon is listed in the NPPES registry with a primary specialty of Home Health Agency (Agencies).

Where is Tequila Buckhanon located?

Tequila Buckhanon's practice location on file with NPPES is 5701 Shingle Creek Pkwy Ste 250h, Brooklyn Center, MN 55430-2344.

What is Tequila Buckhanon's phone number?

The practice phone number listed in the NPPES registry for Tequila Buckhanon is (612) 695-5614.

Is Tequila Buckhanon's NPI active?

Yes — Tequila Buckhanon's NPI (1477170777) is active in the NPPES registry as of the last update on 2020-07-02.

IndividualActive

Tequila Buckhanon

NPI 1477170777 · Home Health Agency · Brooklyn Center, MN

Tequila Buckhanon is a Home Health Agency provider in Brooklyn Center, MN (NPI 1477170777).

Provider details

NPI number: 1477170777
Entity type: Individual
Primary specialty: Home Health AgencyAgencies
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Home Health AgencyPrimary251E00000XLicense 10827598 (MN)
Agencies
Non-emergency Medical Transport (VAN)343900000X
Transportation Services

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% 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

5701 Shingle Creek Pkwy Ste 250h

Brooklyn Center, MN 55430-2344

Phone: (612) 695-5614

Street-level locationGet directions

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Mailing address