Regenia Washington-Redmon, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

632686 Issued in TX

Practice address

120 E Charnwood St
Tyler, TX 75701-1708

Phone

(903) 525-1664

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regenia Washington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1245369271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757125500",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E CHARNWOOD ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011708",
            "telephone_number": "903-525-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON-REDMON",
        "first_name": "REGENIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "632686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC-PHCS PROVIDER #",
            "identifier": "9463733",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGENIA",
            "last_name": "WASHINGTON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Warren
• Anthony Chase Warren, CRNA
• Julia Michelle Warren, MA, LPC-A
• Margaret Anne Warren, D.O.
• Sumar Warren
• Antoine Washington, MD
• Brittany Washington
• Fermond Leon Washington, OT
• Jennifer M Washington, PTA
• Latrece Washington, LVN

• Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.