Individual provider Active NPI

Regna G Ingulli, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Ridgefield, CT
National Provider Identifier
1013405422
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
002939 Issued in CT
Practice address
77 Danbury Rd Ste C9
Ridgefield, CT 06877-4029
Phone
(203) 894-5130
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 002939 CT Primary

Addresses

Primary practice location

77 Danbury Rd Ste C9
Ridgefield, CT 06877-4029

Mailing address

77 Danbury Rd Ste C9
Ridgefield, CT 06877-4029
Phone (203) 894-5130

Other identifiers 1

IdentifierTypeStateIssuer
002939OtherCTSPEECH-LANGUAGE PATHOLOIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002939CTMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1013405422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 DANBURY RD STE C9",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774029",
            "telephone_number": "203-894-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 DANBURY RD STE C9",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774029",
            "telephone_number": "203-894-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGULLI",
        "first_name": "REGNA",
        "middle_name": "G",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOIST",
            "identifier": "002939",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.