Individual provider Active NPI

Regina Lynn Sledge, NP

  • Acute Care Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1245714302
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1142249 Issued in TX
Practice address
540 W 5TH St Ste 330
Odessa, TX 79761-5065
Phone
(432) 640-3445
NPI assigned
Sep 24, 2018
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1142249 TX Primary

Addresses

Primary practice location

540 W 5TH St Ste 330
Odessa, TX 79761-5065

Mailing address

540 W 5TH St Ste 330
Odessa, TX 79761-5065
Phone (432) 640-3445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181117000026 FL Practitioner - Nurse Practitioner 1052665627 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1142249TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Professional Care CurrentSince Oct 20, 2024 Accepting new patients
MCH Traumacare CurrentSince Oct 20, 2024 Accepting new patients
South Broward Hospital District CurrentSince Dec 1, 2020 Accepting new patients
South Broward Hospital District CurrentSince Dec 1, 2020 Accepting new patients
Nuview Telehealth, LLC CurrentSince Jul 14, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 8, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 8, 2018 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3501 Johnson St
Fl 3
Hollywood, FL 33021
Phone (954) 265-9976

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

540 W 5th St
Ste 330
Odessa, TX 79761
Phone (432) 580-5400

Interoperability endpoints

  • Direct secure messaging: rsledge20895@jupitermedicalcenter.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1245714302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 330",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615065",
            "telephone_number": "432-640-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 330",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615065",
            "telephone_number": "432-640-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "REGINA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1142249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.