MEDICARE: REGINA WINBUSH M.S., CCC-A

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	231H00000X	Audiologist	2982	LA
2	237600000X	Audiologist-Hearing Aid Fitter	2982	LA

General Provider Information

NPI Number	:	1275768822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA WINBUSH M.S., CCC-A

Provider Business Mailing Address
First Line	:	PO BOX 65375
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70896-5375
Country	:	US
Telephone Number	:	225-413-8221
Fax Number	:

Provider Business Practice Location Address
First Line	:	765 PARLANGE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1844
Country	:	US
Telephone Number	:	225-413-8221
Fax Number	:

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

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	01/04/2026

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