Regina Renee Nicholes

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20100159 Issued in LA

Practice address

115 W Oak St
Amite, LA 70422-2715

Phone

(985) 474-2114

NPI assigned

Feb 11, 2019

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)

Not 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.

• Integrity Home Care, LLC

  • In Home Supportive Care Agency
  • Roseland, LA
  • NPI 1265274815
  NPD Authorized official
• Integrity Home Care, LLC

  • Personal Care Attendant
  • Roseland, LA
  • NPI 1720968472
  NPD Authorized official
• Trulab Diagnostics LLC

  • Clinic/Center
  • Independence, LA
  • NPI 1518619691
  NPD Authorized official

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1396201794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 BAKER RD",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704434742",
            "telephone_number": "985-474-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W OAK ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222715",
            "telephone_number": "985-474-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLES",
        "first_name": "REGINA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20100159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier E Moreno, OT
• Kay C Moser, DDS
• Marvin Bruce Neal Jr., PT
• Melissa Kent Neal, OT
• Neuroscience & Pain Institute LLC (Neuroscience & Pain Institute)
• Tyrell Orlandus Norman
• North Tangi Adult Day Care
• North Tangi Counseling Services
• Thomas Ortique Jr.
• Lynette Parker, SOCIAL WORKER

• Licensed Practical Nurse in Amite, LA
• Providers in Amite, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.