Regenpro LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENPRO LLC

Doing business as

ReGenPro Medical

Practice address

2809 Emerywood Pkwy Ste 330-E
Henrico, VA 23294-3730

Phone

(804) 206-9660

Fax

(804) 206-9660

NPI assigned

Aug 16, 2024

Last updated

Oct 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keziah Mariae Del Rosario

Title

Owner

Phone

(804) 206-9660

Specialties & licenses 1

Addresses

Other names 1

• ReGenPro Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Lim Alalong, FNP-BC

  • Family Nurse Practitioner
  • Henrico, VA
  • NPI 1316767726

  Single Specialty

  Medicare reassignment NPD
• Philip P Valmores, D.O.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1063773778
  Medicare reassignment NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1235961376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EMERYWOOD PKWY STE 330-E",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943730",
            "telephone_number": "804-206-9660",
            "fax_number": "804-206-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EMERYWOOD PKWY STE 330-E",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943730",
            "telephone_number": "804-206-9660",
            "fax_number": "804-206-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENPRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "KEZIAH MARIAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-206-9660"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReGenPro Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReGenPro Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Reamer, LMFT
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• Lauryn Reese
• Alana Latisa Reeves, PMHNP-BC
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• Family Medicine Physician in Henrico, VA
• Providers in Henrico, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.