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Individual provider Active NPI

Regina Imari Washington, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1083816946
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9327002 Issued in FL
Practice address
1532 Kingsley Ave Ste 101
Orange Park, FL 32073-4526
Phone
(904) 406-9399
Fax
(833) 673-0308
NPI assigned
Jun 4, 2007
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9327002 FL Primary
Gerontology Nurse Practitioner 363LG0600X F3405331 NY

Addresses

Primary practice location

1532 Kingsley Ave Ste 101
Orange Park, FL 32073-4526

Mailing address

1532 Kingsley Ave Ste 101
Orange Park, FL 32073-4526
Phone (904) 406-9399

Other names 1

  • Mrs. Regina Imari Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527002043 FL Practitioner - Nurse Practitioner 3173501319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4645 Plantation Oaks Blvd
Orange Park, FL 32065-3652
Phone (904) 505-7566

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3405331NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hills Primary Care LLC CurrentSince Nov 14, 2020 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 6, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Apr 6, 2015 Accepting new patients

Locations

1532 Kingsley Ave
Ste 101
Orange Park, FL 32073
Phone (904) 269-1740

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23074/brand/1/csg/1/fhir/r4
  • Direct secure messaging: regina.washington.1@23074.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1083816946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 KINGSLEY AVE STE 101",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734526",
            "telephone_number": "904-406-9399",
            "fax_number": "833-673-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 KINGSLEY AVE STE 101",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734526",
            "telephone_number": "904-406-9399",
            "fax_number": "833-673-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "REGINA",
        "middle_name": "IMARI",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9327002",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F3405331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "SANDERS",
            "middle_name": "IMARI",
            "prefix": "MRS.",
            "credential": "RN, MSN, GNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.