Regina Eyo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

35977 Issued in TN

Practice address

4200 Murfreesboro Pike
Antioch, TN 37013-2789

Phone

(615) 390-6775

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Physician Services of Middle Tennessee, LLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1922331842

  TN

  Medicare reassignment NPD
• Coffee Medical Group LLC

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  Care Compare group NPD (past)
• Patient Care LLC

  • Internal Medicine Physician
  • Antioch, TN
  • NPI 1669975223
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1376387464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MURFREESBORO PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MURFREESBORO PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132789",
            "telephone_number": "615-390-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYO",
        "first_name": "REGINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tywaska Ewin
• Exemplary Behavior
• Expressway Trans LLC
• Eyecare Plus HH, PLLC
• Eyemasters Inc
• Elochukwu Ezekakpu
• Akudo Eziukwu
• Aida Attia Faltas
• Ambiyo Abdi Farah, PMHNP
• Khadija Farah

• All providers in Antioch, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.