Active NPI
Regina C Ebuwei, CRNP
- Nurse Practitioner
- Washington, DC
National Provider Identifier
1154496198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0001148406
- Practice address
- 110 Irving St NW
Washington, DC 20010-3017 - Phone
- (202) 877-5159
- Fax
- (202) 877-8118
- NPI assigned
- Nov 22, 2006
- Last updated
- Nov 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0001148406 | VA | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-3017
Mailing address
110 Irving St NW
East Building
Washington, DC 20010-3017
Phone (202) 877-5159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011915892 | Other | DC | MEDICARE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001148406 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1154496198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "EAST BUILDING",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-5159",
"fax_number": "202-877-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-5159",
"fax_number": "202-877-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBUWEI",
"first_name": "REGINA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0001148406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "011915892",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.