Jane Regan Aprn LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

E52363 Issued in CT

Legal business name

JANE REGAN APRN LLC

Practice address

560 Silver Sands Rd
Unit 505
East Haven, CT 06512-4600

Phone

(203) 410-4382

Fax

(203) 469-4401

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Jane K Regan, APRNNPI 1740520782

Title

Owner

Phone

(203) 410-4382

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane K Regan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1740520782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1427475672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SILVER SANDS RD",
            "address_2": "UNIT 505",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124600",
            "telephone_number": "203-410-4382",
            "fax_number": "203-469-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SILVER SANDS RD",
            "address_2": "UNIT 505",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124600",
            "telephone_number": "203-410-4382",
            "fax_number": "203-469-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE REGAN APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-410-4382",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "E52363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Hurst
• Ayman Iftikhar
• Jessa Maria Imperati, PHARMD
• In Loving Care LLC
• Dominique Paula Izzo
• Jonny'S Jara-Silva
• Cindy Jayanetti, APRN
• Terri Johnson
• Todd W Johnson, LCSW
• Poornima Kadagad, DMD

• Psychiatric/Mental Health Nurse Practitioner in East Haven, CT
• Providers in East Haven, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.