Active NPI
Regina Burns
- Home Health Aide
- Tyler, TX
National Provider Identifier
1356371348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 374U00000X
- Practice address
- 2107 Woodlawn St Ste a
Tyler, TX 75702-2850 - Phone
- (903) 526-5710
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 374U00000X | TX | Primary |
Addresses
Primary practice location
2107 Woodlawn St Ste a
Tyler, TX 75702-2850
Mailing address
2107 Woodlawn St Ste a
Tyler, TX 75702-2850
Phone (903) 526-5710
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374U00000X | TX | MD | Child Intellectual and/or Developmental Disabilities Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Home Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Tyler, TX
- NPI 1558393777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356371348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 WOODLAWN ST STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757022850",
"telephone_number": "903-526-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 WOODLAWN ST STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757022850",
"telephone_number": "903-526-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "REGINA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TX",
"license": "374U00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
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.