NPI Code Detail JSON Logo

1093252306 NPI number — NENA PAGADUAN REGALADO NURSE PRACTITIONER

NPI Number: 1093252306
Health Care Provider/Practitioner: NENA PAGADUAN REGALADO NURSE PRACTITIONER

Information about “1093252306” NPI (NENA PAGADUAN REGALADO NURSE PRACTITIONER) exists in 1093252306 in HTML format HTML  |  1093252306 in plain Text format TXT  |  1093252306 in PDF (Portable Document Format) PDF  |  1093252306 in an XML format XML  formats.

NPI Number : 1093252306 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093252306",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REGALADO",
    "FirstName": "NENA",
    "MiddleName": "PAGADUAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NURSE PRACTITIONER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4998 MARIAH PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIR OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95628-5031",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-252-4702",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5900 COYLE AVE STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMICHAEL",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95608",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-330-4447",
    "PracticeLocationAddressFaxNumber": "916-332-0207",
    "EnumerationDate": "01/24/2017",
    "LastUpdateDate": "10/31/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "ARNP9229250",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "ARNP9229250",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.