Individual provider Active NPI

Regenia Elizabeth Sayles, MED-TECH/ CPR

  • Home Health Aide
  • DC, DC
National Provider Identifier
1033735170
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
MT0056080 Issued in MD
Practice address
3924 Minnesota Ave NE Washington
DC, DC 20019
Phone
(202) 715-7962
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X MT0056080 MD Primary

Addresses

Primary practice location

3924 Minnesota Ave NE Washington
DC, DC 20019

Mailing address

5119 Suitland Rd Apt104
Suitland, MD 20746
Phone (240) 273-6829

Other identifiers 2

IdentifierTypeStateIssuer
70003953OtherDCAMERIGROUP
70003953MedicaidDC

Other names 1

  • Ms. Regenia Elizabeth Sayles Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AMERIGROUP Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
MT0056080MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1033735170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 SUITLAND RD APT104",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "20746",
            "telephone_number": "240-273-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 MINNESOTA AVE NE WASHINGTON",
            "city": "DC",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "202-715-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLES",
        "first_name": "REGENIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MED-TECH/ CPR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "MT0056080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "70003953",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70003953",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AMERIGROUP",
            "affiliation": "N",
            "endpointDescription": "PCP UNITY HEALTH CARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3924 Minnesota Ave NE WASHINGTON",
            "city": "DC",
            "state": "DC",
            "country_code": "US",
            "postal_code": "20019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REGENIA",
            "last_name": "SAYLES",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MED-TECH/CPR/AID",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in DC, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.