Active NPI
Regina M Doak, REGISTERED NURSE
- Registered Nurse
- Saratoga Springs, NY
National Provider Identifier
1467799692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 391035-1
- Practice address
- 125 High Rock Avenue
St. Peter'S Addiction Recovery Center
Saratoga Springs, NY 12866 - Phone
- (518) 885-6884
- Fax
- (518) 885-0077
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 391035-1 | NY | Primary |
Addresses
Primary practice location
125 High Rock Avenue
St. Peter'S Addiction Recovery Center
Saratoga Springs, NY 12866
Mailing address
125 High Rock Avenue
St. Peter'S Addiction Recovery Center
Saratoga Springs, NY 12866
Phone (518) 885-6884
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 |
|---|---|---|---|
| 391035-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1467799692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 HIGH ROCK AVENUE",
"address_2": "ST. PETER'S ADDICTION RECOVERY CENTER",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-885-6884",
"fax_number": "518-885-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 HIGH ROCK AVENUE",
"address_2": "ST. PETER'S ADDICTION RECOVERY CENTER",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-885-6884",
"fax_number": "518-885-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAK",
"first_name": "REGINA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "391035-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.