Regina P Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5002425 Issued in NC

Practice address

129 NC Highway 109 S
Mount Gilead, NC 27306-8941

Phone

(910) 572-1979

Fax

(970) 572-1961

NPI assigned

Nov 28, 2006

Last updated

Feb 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: rsmith7608@firsthealth.direct-ci.net

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1386710598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NC HIGHWAY 109 S",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273068941",
            "telephone_number": "910-572-1979",
            "fax_number": "970-572-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NC HIGHWAY 109 S",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273068941",
            "telephone_number": "910-572-1979",
            "fax_number": "970-572-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REGINA",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0050-02425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5002425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Gilead LLC
• Mount Gilead LLC (Cochrane Ridenhour Drug Co #3)
• Patton Group, LLC (Evans Rest Home)
• Providence Facilities
• Shipman Family Home Care Inc.
• Stanly Medical Services (Mt Gilead Medical Services)
• Sunshine Home Health Care Inc
• Thomas-Nabinett-Thomas Group
• Thomas Lawson Wilkins, PA
• Worley's Home, LLC

• Family Nurse Practitioner in Mount Gilead, NC
• Providers in Mount Gilead, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.