Individual provider Active NPI

Regina Ottan

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1164950283
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F05170039 Issued in TX
Practice address
8686 Hwy 6 North
Houston, TX 77095
Phone
(281) 861-4212
Fax
(281) 861-4051
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X AP134113 TX
Nurse Practitioner 363L00000X F05170039 TX Primary

Addresses

Primary practice location

8686 Hwy 6 North
Houston, TX 77095

Mailing address

7115 S Mason Rd Apt 1911
Richmond, TX 77407-4482
Phone (248) 842-2852

Other identifiers 2

IdentifierTypeStateIssuer
F05170039OtherTXFAMILY NURSE PRACTITIONER
1164950283OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612000878 TX Practitioner - Nurse Practitioner 1951710656 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05170039TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Copperfield Medical Practice PLLC Multi-Specialty CurrentSince Feb 27, 2024 Accepting new patients
Ashealty LLC Multi-Specialty CurrentSince Jan 11, 2026 Accepting new patients
Caring by Nature Home Healthcare Services LLC Past Accepting new patients
Avery Hospice LLC PastSince Apr 23, 2021 Accepting new patients
Ihealth Practitioners Inc Multi-Specialty Past Accepting new patients

Locations

8686 Highway 6 N
Houston, TX 77095
Phone (281) 861-4212

Organizations & group practices 6

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1164950283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 S MASON RD APT 1911",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074482",
            "telephone_number": "248-842-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 HWY 6 NORTH",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "281-861-4212",
            "fax_number": "281-861-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAN",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "AP134113",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F05170039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "F05170039",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164950283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.