Individual provider Active NPI

Reginald J Nazaire, REGISTERED NURSE

  • Home Health Registered Nurse
  • Round Rock, TX
National Provider Identifier
1093240335
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
9600544 Issued in FL
Practice address
3304 Balboa Way
Round Rock, TX 78665-2252
Phone
(512) 600-3383
Fax
(512) 856-9483
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 336043 TX
Home Health Registered Nurse 163WH0200X 9600544 FL Primary

Addresses

Primary practice location

3304 Balboa Way
Round Rock, TX 78665-2252

Mailing address

3304 Balboa Way
Round Rock, TX 78665
Phone (512) 573-0929

Other identifiers 1

IdentifierTypeStateIssuer
34669471OtherTXDRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.rrhhservice.com Direct

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
9600544FLMDHome Health Registered Nurse
336043TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nazcare LLC CurrentSince Apr 17, 2022 Accepting new patients
Nazcare LLC CurrentSince Apr 17, 2022 Accepting new patients
I&R Health Services Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1093240335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 BALBOA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-573-0929",
            "fax_number": "512-856-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 BALBOA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652252",
            "telephone_number": "512-600-3383",
            "fax_number": "512-856-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAIRE",
        "first_name": "REGINALD",
        "middle_name": "J",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "336043",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9600544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "34669471",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.rrhhservice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3304 Balboa Way",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786652252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.