Regina McBride, HEALTH CARE PROVIDER

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

1346254 Issued in CT

Practice address

940 Reservoir Ave
Bridgeport, CT 06606-3924

Phone

(203) 360-8626

Fax

(203) 333-1669

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Abundance Health Services LLC

  • Home Health Agency
  • Bridgeport, CT
  • NPI 1023627783
  NPD Authorized official

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1457960767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 RESERVOIR AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063924",
            "telephone_number": "203-360-8626",
            "fax_number": "203-333-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 RESERVOIR AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063924",
            "telephone_number": "203-360-8626",
            "fax_number": "203-333-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "REGINA",
        "credential": "HEALTH CARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "CT",
            "license": "1346254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muriel Maxwell, LCSW
• Madeline Mazariegos, LCSW
• Maria del Mar Mazza, APRN
• Darrin Allan McAllister, MS, LADC
• Catherine McAuliffe, LPC, PHD
• Christine Ellen McCabe, MSW INTERN
• Wendy Anne McCaffery, LCSW
• Heather McCarthy, CRNA
• Kaitlyn McCarthy, LMSW
• Margaret Rose McCarthy, MD

• Attendant Care Provider in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Attendant Care Provider in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.