Regina Marie Jensen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36541 Issued in NC

Practice address

4536 Technology Dr
Ste 3
Wilmington, NC 28405-2153

Phone

(910) 343-8411

Fax

(910) 343-8414

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hampstead Medical Center, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Hampstead, NC
  • NPI 1235286204
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1023089851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 TECHNOLOGY DR STE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052153",
            "telephone_number": "910-343-8411",
            "fax_number": "910-343-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 TECHNOLOGY DR",
            "address_2": "STE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052153",
            "telephone_number": "910-343-8411",
            "fax_number": "910-343-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "36541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cooke Staat, P.a. (Northstar Psychology)
• Jennifer Herrmann Rd Ibclc
• Jennifer Upchurch LCSW PLLC
• Thomas Shannon Jennings II
• Rion Elizabeth Jenny, LCSWA
• Richard Edward Jernigan Jr., MD
• Robin Jervis
• Jessica Morman, LMFT, PLLC (Horizon Wellness Services)
• Mildred White Jessup, RN
• Rachel Jester, MD

• Internal Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.