Active NPI
Regina Catherine Springer, PA-C
- Medical Physician Assistant
- Rutland, VT
National Provider Identifier
1366453573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 055-0030924
- Practice address
- 71 Allen St
Suite 203
Rutland, VT 05701-4570 - Phone
- (802) 775-7798
- NPI assigned
- Aug 11, 2006
- Last updated
- Mar 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 560 | NH | |
| Medical Physician Assistant | 363AM0700X | 055-0030924 | VT | Primary |
Addresses
Primary practice location
71 Allen St
Suite 203
Rutland, VT 05701-4570
Mailing address
71 Allen St
Suite 203
Rutland, VT 05701-4570
Phone (802) 775-7798
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68870 | Other | VT | BCBS |
| 9000236 | Medicaid | VT |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 560 | NH | MD | Optometrist |
| 0560 | NH | MD | Physical Therapist |
| 055-0030924 | VT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Physicians Clinic | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1366453573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 ALLEN ST",
"address_2": "SUITE 203",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014570",
"telephone_number": "802-775-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 ALLEN ST",
"address_2": "SUITE 203",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014570",
"telephone_number": "802-775-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "REGINA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "560",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VT",
"license": "055-0030924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "68870",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000236",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
- Margaret Coleman Soule, MED LCMHC
- Southern Vermont Endontics, PC
- Southwestern Vermont Council on Aging, Inc.
- Sovtendo, LLC (Southern Vermont Endodontics)
- Kristin Angeline Camp Sperber, PA-C
- Larry Lee Springsteen, PHARMD. AND PH.D.
- Bethany Lynn Stack, P.A.
- Jaime Lee Stark
- Meryl Stark, F.N.P.
- Starlight ABA VT LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.