Individual provider Active NPI

Regina Nabulya, MSN, FNP-BC

  • Family Nurse Practitioner
  • Westwood, MA
National Provider Identifier
1285375600
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2331039 Issued in MA
Practice address
101 Station Dr Ste 240
Westwood, MA 02090-2336
Phone
(617) 481-9077
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2331039 MA Primary

Addresses

Primary practice location

101 Station Dr Ste 240
Westwood, MA 02090-2336

Mailing address

101 Station Dr Ste 240
Westwood, MA 02090-2336
Phone (617) 481-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220519001147 MA Practitioner - Nurse Practitioner 3274910898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Healthcare, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

101 Station Dr
Ste 240
Westwood, MA 02090
Phone (781) 706-1079

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1285375600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STATION DR STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902336",
            "telephone_number": "617-481-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STATION DR STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902336",
            "telephone_number": "617-481-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABULYA",
        "first_name": "REGINA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2331039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

Verify at the official NPI Registry.