Active NPI
Regina Austin-Ford
- Developmentally Disabled Services Day Training Agency
- Virginia Beach, VA
National Provider Identifier
1407545882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 6503
- Practice address
- 3872 Ava Way
Virginia Beach, VA 23456-2204 - Phone
- (757) 802-2149
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 6503 | VA | Primary |
| Preferred Provider Organization | 305R00000X | 6503 | VA |
Addresses
Primary practice location
3872 Ava Way
Virginia Beach, VA 23456-2204
Mailing address
3872 Ava Way
Virginia Beach, VA 23456-2204
Phone (757) 802-2149
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6503 | VA | MD | Preferred Provider Organization |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Guiding Lights. LLC | Day Training, Developmentally Disabled Services | Current | 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 and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Virginia Beach, VA
- NPI 1366131393
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1407545882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3872 AVA WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234562204",
"telephone_number": "757-802-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3872 AVA WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234562204",
"telephone_number": "757-802-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN-FORD",
"first_name": "REGINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "VA",
"license": "6503",
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "VA",
"license": "6503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.