Regenpro Wound Specialty Group - Hampton Roads, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENPRO WOUND SPECIALTY GROUP - HAMPTON ROADS, LLC

Practice address

3218 High St
Portsmouth, VA 23707-3730

Phone

(434) 264-1233

Fax

(434) 264-1233

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Keziah Mariae Del Rosario

Title

Owner

Phone

(757) 394-0652

Specialties & licenses 1

Addresses

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.

• 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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1245055482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23707",
            "telephone_number": "434-264-1233",
            "fax_number": "434-264-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073730",
            "telephone_number": "434-264-1233",
            "fax_number": "434-264-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENPRO WOUND SPECIALTY GROUP - HAMPTON ROADS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "KEZIAH MARIAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-394-0652",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Redd, M.A., CCC-SLP
• Shawn Dean Redding, M.D.
• Anne Marie Reddy, M.D.
• Katelyn Marie Reed, RN
• Craig Reeves, MD
• Rehab Management Inc
• Peter Reichenbach
• Daralynn Michelle Reid
• Denise Annmarie Reid, MENTAL HEALTH
• Kavesha Reid, BCBA, LBA

• Family Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, 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 Jun 12, 2025; 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.