Individual provider Active NPI

Regina Tele Lassey

  • Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1124950936
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11047963 Issued in FL
Practice address
1305 Dunhill Dr
Longwood, FL 32750-2890
Phone
(813) 345-7682
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11047963 FL Primary

Addresses

Primary practice location

1305 Dunhill Dr
Longwood, FL 32750-2890

Mailing address

1305 Dunhill Dr
Longwood, FL 32750-2890
Phone (813) 345-7682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1305 Dunhill Dr
Longwood, FL 32750-2890

1642 N Volusia Ave
Orange City, FL 32763-3841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11047963FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1124950936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 DUNHILL DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327502890",
            "telephone_number": "813-345-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 DUNHILL DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327502890",
            "telephone_number": "813-345-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEY",
        "first_name": "REGINA",
        "middle_name": "TELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11047963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.