Regina K Welborn, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN12470 Issued in TN

Practice address

2051 Hamill Rd
Hixson, TN 37343

Phone

(423) 495-7100

Fax

(423) 624-6355

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Regina W Hall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anesthesiologists Associated PC

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1043278443

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1518923705
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1356480883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535575",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303535595",
            "telephone_number": "865-342-8900",
            "fax_number": "865-691-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-495-7100",
            "fax_number": "423-624-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "REGINA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN80401",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN12470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3638644",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00398193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4146597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "HALL",
            "middle_name": "W",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keith Andrew Weaver, DO
• Donna Faye Webb, DPH
• Elizabeth Flanagan Webb, D.D.S
• Jeffrey Christopher Weir, PT, DPT
• Olivia Weiss, PA-C
• Well Adjusted Chiropractic
• Nicholas J Wentz, D.D.S.
• Michael Andrew Weston, MD
• Joshua Bradley Wheeler, DC
• Zachary Whitener

• Certified Registered Nurse Anesthetist in Hixson, TN
• Providers in Hixson, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.