Active NPI
Regine Charles Roy, FNP-C
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1073180147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP000184
- Practice address
- 6187 NW 167TH St Ste H23
Hialeah, FL 33015-4352 - Phone
- (954) 881-3710
- Fax
- (866) 456-9976
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GAA-NP000184 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11012171 | FL |
Addresses
Primary practice location
6187 NW 167TH St Ste H23
Hialeah, FL 33015-4352
Mailing address
6187 NW 167TH St Ste H23
Hialeah, FL 33015-4352
Phone (954) 881-3710
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11012171 | FL | MD | Family Nurse Practitioner |
| GAA-NP000184 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RGR, LLC | Current | Accepting new patients | |
| RGR, LLC | Current | Accepting new patients | |
| Healing Hands Family Healthcare | Current | Accepting new patients | |
| Pedsnow LLC | Past | Accepting new patients | |
| Pedsnow LLC | Past | Accepting new patients |
Locations
6187 NW 167th St
Ste H23
Miami Gardens, FL 33015
Phone (305) 650-9094
Organizations & group practices 5
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.
-
- Health Service Clinic/Center
- Port Wentworth, GA
- NPI 1659268209
-
dba PedsNow Pooler, LLC
- Pediatric Adolescent Medicine Physician
- Pooler, GA
- NPI 1255012753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1073180147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6187 NW 167TH ST STE H23",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154352",
"telephone_number": "954-881-3710",
"fax_number": "866-456-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6187 NW 167TH ST STE H23",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154352",
"telephone_number": "954-881-3710",
"fax_number": "866-456-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES ROY",
"first_name": "REGINE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP000184",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11012171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.