Regina R. Donaldson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

2695 NW Hatches Harbor Rd Apt 101
Port St Lucie, FL 34983-4127

Phone

(772) 332-3339

Fax

(772) 323-0055

NPI assigned

Oct 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Regina Providing Care Inc.

  • In Home Supportive Care Agency
  • Fort Pierce, FL
  • NPI 1427881580
  NPD Authorized official
• Regina Providing Care, Inc.

  • Developmental Disabilities Clinic/Center
  • Fort Pierce, FL
  • NPI 1629726807

  Community Health Worker

  NPD Authorized official

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1033661624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 598",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825892",
            "telephone_number": "772-332-3339",
            "fax_number": "772-323-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 NW HATCHES HARBOR RD APT 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349834127",
            "telephone_number": "772-332-3339",
            "fax_number": "772-323-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "REGINA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019040200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109053700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dockyard Emergency Physicians, LLC
• Celena S Doctor, OT
• Faith Sapio Documento, PHYSICAL THERAPIST
• Cynthia A Dolan, M.D.
• Marlevy Dominguez, APRN
• Donato a Viggiano MD PA
• Lourdes Dorado Levy
• Greg Dorcelia
• Esther Petit Phat Dorceus
• Teresa Diane Dore, L.M.H.C

• In Home Supportive Care Agency in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.