Individual provider Active NPI

Nathalie Registre, NP

  • Women's Health Nurse Practitioner
  • Great Neck, NY
National Provider Identifier
1215342001
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421706 Issued in NY
Practice address
833 Northern Blvd Ste 100
Great Neck, NY 11021-5308
Phone
(516) 464-0241
Fax
(888) 830-1604
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 712154 NY
Women's Health Nurse Practitioner 363LW0102X 421706 NY Primary

Addresses

Primary practice location

833 Northern Blvd Ste 100
Great Neck, NY 11021-5308

Mailing address

833 Northern Blvd Ste 100
Great Neck, NY 11021-5308
Phone (516) 464-0241

Other practice location 1

2 Hillside Ave Ste G
Williston Park, NY 11596-2335
Phone (516) 280-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260305002405 NY Practitioner - Nurse Practitioner 5698257905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Hillside Ave
Suite G
Williston Park, NY 11596-2335

295 Kimball St
Woodbridge, NJ 07095-2518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
712154NYMDRegistered Nurse
421706NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Verdun Home Health Care Inc Past Accepting new patients
Verdun Home Health Care Inc Past Accepting new patients

Organizations & group practices 3

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1215342001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215308",
            "telephone_number": "516-464-0241",
            "fax_number": "888-830-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215308",
            "telephone_number": "516-464-0241",
            "fax_number": "888-830-1604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hillside Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Williston Park",
            "state": "NY",
            "postal_code": "115962335",
            "country_code": "US",
            "telephone_number": "516-280-3980",
            "fax_number": "888-814-0901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGISTRE",
        "first_name": "NATHALIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "712154",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.