Individual provider Active NPI

Tahimy Regueiro

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1043968837
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20-123823 Issued in FL
Practice address
27050 SW 119TH CT
Homestead, FL 33032-3300
Phone
(786) 253-9275
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT20-123823 FL Primary

Addresses

Primary practice location

27050 SW 119TH CT
Homestead, FL 33032-3300

Mailing address

27050 SW 119TH CT
Homestead, FL 33032-3300
Phone (786) 253-9275

Other identifiers 1

IdentifierTypeStateIssuer
RBT20-123823MedicaidFL

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
RBT20-123823FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1043968837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27050 SW 119TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323300",
            "telephone_number": "786-253-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27050 SW 119TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323300",
            "telephone_number": "786-253-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGUEIRO",
        "first_name": "TAHIMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20-123823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT20-123823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.