Individual provider Active NPI

Regina Lyn Williams, R.T.(R)(M)(CT)(ARRT)

  • Computed Tomography Radiologic Technologist
  • Beaumont, TX
National Provider Identifier
1205107075
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
R.T.(R)(M)(CT)(ARRT) Issued in TX
Practice address
3820 Pointe Pkwy
400
Beaumont, TX 77706-2000
Phone
(409) 767-8221
Fax
(409) 785-4200
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X R.T.(R)(M)(CT)(ARRT) TX Primary

Addresses

Primary practice location

3820 Pointe Pkwy
400
Beaumont, TX 77706-2000

Mailing address

3820 Point Park Way
400
Beaumont, TX 77706-5025
Phone (409) 767-8221

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

State licenses

LicenseStateTypeSpecialty
R.T.(R)(M)(CT)(ARRT)TXMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1205107075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 POINT PARK WAY",
            "address_2": "400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065025",
            "telephone_number": "409-767-8221",
            "fax_number": "409-785-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 POINTE PKWY",
            "address_2": "400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062000",
            "telephone_number": "409-767-8221",
            "fax_number": "409-785-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REGINA",
        "middle_name": "LYN",
        "credential": "R.T.(R)(M)(CT)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "TX",
            "license": "R.T.(R)(M)(CT)(ARRT)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.