Active NPI
Regina Betties, C.N.A
- Community Health Worker
- Panama City, FL
National Provider Identifier
1235568197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 169268
- Practice address
- 3134 E 6TH PLZ
Panama City, FL 32401-5230 - Phone
- (850) 640-0056
- Fax
- (850) 640-0481
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 169268 | FL | Primary |
Addresses
Primary practice location
3134 E 6TH PLZ
Panama City, FL 32401-5230
Mailing address
PO Box 36934
Panama City, FL 32412-6934
Phone (850) 640-0056
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
| License | State | Type | Specialty |
|---|---|---|---|
| 169268 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1235568197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36934",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324126934",
"telephone_number": "850-640-0056",
"fax_number": "850-640-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 E 6TH PLZ",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324015230",
"telephone_number": "850-640-0056",
"fax_number": "850-640-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTIES",
"first_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "C.N.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "169268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.