Regina L Bray, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4563-0 Issued in HI

Practice address

91-1001 Keaunui Dr Unit 201
Ewa Beach, HI 96706-6331

Phone

(808) 348-1989

NPI assigned

Mar 28, 2024

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1407607377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1001 KEAUNUI DR UNIT 201",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066331",
            "telephone_number": "808-348-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1001 KEAUNUI DR UNIT 201",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066331",
            "telephone_number": "808-348-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "REGINA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "70786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "4563-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Penelope Boquer-Velasco
• Nathaniel R Bossick, LCSW
• Robert E Boyack
• Diana Bradner
• Jaime Nicole Bradner
• Olga Briklin, M.D.
• Karen Pasion Britten
• Michael Anthony Britten, CNA
• Cheyenne Brock-Kuanoni
• Renee Broekhuizen

• Family Nurse Practitioner in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.