MEDICARE: REGINA TATE LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	96595	NE
2	3747P1801X	Personal Care Attendant
3	164W00000X	Licensed Practical Nurse	25934	NE

General Provider Information

NPI Number	:	1093271967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA TATE LPN

Provider Business Mailing Address
First Line	:	1805 N 110TH AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-1607
Country	:	US
Telephone Number	:	402-451-1797
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 N 110TH AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-1607
Country	:	US
Telephone Number	:	402-451-1797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	09/26/2025

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1275422404 — COREY JACKSON
Practice Location Address:

1805 N 110TH AVE
OMAHA, NE
68154-1607

Practice Phone: 531-777-3884
Practice Fax:

1871425314 — LORI S SARANDREA-HILL
Practice Location Address:

5523 N 61ST ST
OMAHA, NE
68104-1607

Practice Phone: 402-709-0286
Practice Fax:

1013662279 — MRS. MELISSA MARIE RITONYA APRN
Practice Location Address:

11902 PIERCE PLZ
OMAHA, NE
68144-1607

Practice Phone: 402-502-9868
Practice Fax:

1619798188 — TRISTAN JEAN MILONE APRN
Practice Location Address:

11902 PIERCE PLZ
OMAHA, NE
68144-1607

Practice Phone: 402-502-9868
Practice Fax:

1649083361 — THA DAH
Practice Location Address:

4112 N 17TH ST
OMAHA, NE
68110-1607

Practice Phone: 531-772-8798
Practice Fax:

Directions to “ REGINA TATE LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.