Active NPI
Regina Dunst, NP
- Pediatric Nurse Practitioner
- Madison, WI
National Provider Identifier
1326106493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 64435
- Practice address
- 3434 E Washington Ave
Madison, WI 53704-4155 - Phone
- (608) 443-5480
- Fax
- (608) 443-5553
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 64435 | WI | Primary |
Addresses
Primary practice location
3434 E Washington Ave
Madison, WI 53704-4155
Mailing address
3434 E Washington Ave
Madison, WI 53704-4155
Phone (608) 443-5480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43901700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1781 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326106493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044155",
"telephone_number": "608-443-5480",
"fax_number": "608-443-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044155",
"telephone_number": "608-443-5480",
"fax_number": "608-443-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNST",
"first_name": "REGINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "64435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43901700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.