Active NPI
Regina M O'Leary, CRNP
- Neonatal Nurse Practitioner
- Boardman, OH
National Provider Identifier
1114064128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APRN.CNP.020627
- Practice address
- 6505 Market St
Boardman, OH 44512-3457 - Phone
- (330) 480-2363
- Fax
- (330) 480-6359
- NPI assigned
- Jan 31, 2007
- Last updated
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP010426 | PA | |
| Neonatal Nurse Practitioner | 363LN0000X | SP001256J | PA | |
| Neonatal Nurse Practitioner | 363LN0000X | APRN.CNP.020627 | OH | Primary |
Addresses
Primary practice location
6505 Market St
Boardman, OH 44512-3457
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 480-2363
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010426 | PA | MD | Family Nurse Practitioner |
| APRN.CNP.020627 | OH | MD | Neonatal Nurse Practitioner |
| SP001256J | PA | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Past | Accepting new patients |
Interoperability endpoints
- roleary103468@direct.ahn.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1114064128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-480-2363",
"fax_number": "330-480-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123457",
"telephone_number": "330-480-2363",
"fax_number": "330-480-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "REGINA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010426",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "PA",
"license": "SP001256J",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OH",
"license": "APRN.CNP.020627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.