Individual provider Active NPI

Regenia Spears-Welch, FNP-BC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1366897548
Registry record updated Aug 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006212A Issued in IN
Practice address
640 Eskenazi Ave
Indianapolis, IN 46202
Phone
(317) 221-8300
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2018

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 71006212A IN Primary

Addresses

Primary practice location

640 Eskenazi Ave
Indianapolis, IN 46202

Mailing address

640 Eskenazi Ave
Indianapolis, IN 46202-5173
Phone (317) 221-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217002079 GA Practitioner - Nurse Practitioner 8325335342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71006212AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Department of Health CurrentSince Dec 9, 2024 Accepting new patients
Clarke County Department of Health Current Accepting new patients

Locations

220 Research Dr
Athens, GA 30605
Phone (706) 583-2856

700 Sunset Dr
Ste 501
Athens, GA 30606
Phone (706) 208-0065

Organizations & group practices 2

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533340800000",
    "number": "1366897548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ESKENAZI AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025173",
            "telephone_number": "317-221-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ESKENAZI AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "317-221-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS-WELCH",
        "first_name": "REGENIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2018-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.