Della Rae Regenwether, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10595 Issued in AZ

Practice address

5050 W Baseline Rd
Laveen, AZ 85339-7324

Phone

(866) 389-2727

NPI assigned

Sep 15, 2017

Sex

Female

Sole proprietor

No

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.

• BHC Iowa, LLC Dba Refine Hormone Center

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1154259711
  NPD Authorized official
• Balance Hormone Chandler, PLLC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1669019220
  NPD (past)
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2019.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1235658741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W BASELINE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397324",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 W BASELINE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397324",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGENWETHER",
        "first_name": "DELLA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahsana Rahman, OTR L
• Sahara Rahman
• Venesha L Rainwater, LMSW
• Ready4Life Behavioral Health & Counseling LLC
• Ready4Life Behavioral Health & Counseling LLC
• Billye Jo Reid-Ocampo, M.ED., CCC-SLP
• Renaissance Assisted Living
• Ngabho Richard
• Richmond Manor Adult Care
• Righteous Path Care Homes LLC

• All providers in Laveen, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.