Individual provider Active NPI

Regina White, PA-C

  • Physician Assistant
  • Sellersville, PA
National Provider Identifier
1023040003
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003448L Issued in PA
Practice address
4 Life Mark Dr
Grand View Emergency Medicine Associates
Sellersville, PA 18960-1577
Phone
(215) 453-4773
Fax
(215) 453-4719
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003448L PA Primary

Addresses

Primary practice location

4 Life Mark Dr
Grand View Emergency Medicine Associates
Sellersville, PA 18960-1577

Mailing address

4 Life Mark Dr
Sellersville, PA 18960-1577
Phone (215) 453-4773

Other names 1

  • Regina Lee Former name

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)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AABJCD/Endpoint/AABJCD

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1023040003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LIFE MARK DR",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601577",
            "telephone_number": "215-453-4773",
            "fax_number": "215-453-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIFE MARK DR",
            "address_2": "GRAND VIEW EMERGENCY MEDICINE ASSOCIATES",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601577",
            "telephone_number": "215-453-4773",
            "fax_number": "215-453-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REGINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003448L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "LEE",
            "credential": "PA-C, MSPAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sellersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.