Regina Heaton Finicum
Individual provider Active NPI Foster Care Agency · Fredonia, AZ
NPI 1194201814 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1194201814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 368267 (AZ)
- Practice address
- 2800 N. 50 E.
Fredonia, AZ 86022 - Phone
- (435) 689-9787
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368267 | AZ | MD | Foster Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 368267 | AZ | Yes |
Addresses
Primary practice location
2800 N. 50 E.
Fredonia, AZ 86022
Mailing address
PO Box 528
Fredonia, AZ 86022-0528
Phone (435) 689-9787
Other providers in Fredonia, AZ
- Sondra J Bistline
- Cathy G. Hill, PT, LLC
- Community Bridges, Inc.
- Encompass Health Services, Inc
- Guy Ronald Finicum
- Fredonia-Moccasin Unified School District
- Jeffrey Janes
- Diedra Y Kinne
- Thomas Charles Kinne II
- David Armstrong Lambert
All providers in Fredonia, AZ · Foster Care Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.