Regina Maria Souza, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN69569 Issued in ME

Practice address

40 Airport Rd
Waterville, ME 04901-4524

Phone

(207) 872-7272

Fax

(207) 872-0639

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Regina Maria Edmondson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Discovery House of Central Maine, Inc.

  • Methadone Clinic
  • Waterville, ME
  • NPI 1851390629
  NPD (past)
• Integrated Medical Associates, LLC

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1639109366
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1154037141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AIRPORT RD",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014524",
            "telephone_number": "207-872-7272",
            "fax_number": "207-872-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AIRPORT RD",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014524",
            "telephone_number": "207-872-7272",
            "fax_number": "207-872-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "REGINA",
        "middle_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN69569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "EDMONDSON",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sreeja Sompalli
• Donna Marie Sonner, FNP
• Loren Nicole Soucie, FNP-C
• Source Integrative Psychiatry PLLC
• Charlene Marie Southwick, M.S., CCC-SLP
• Kayla Spencer, LCSW
• Judith Ann St. Hilaire, LMSW
• Genko Stanilov, DMD
• Michelle Lee Stankevitz, P.T.A.
• Richard J. Staples, PH.D.

• Registered Nurse in Waterville, ME
• Providers in Waterville, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.