NPIMap

Organization Active NPI

Regent Medical and Aesthetic Clinic

  • Primary Care Clinic/Center
  • Perry, FL
National Provider Identifier
1477021053
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REGENT MEDICAL AND AESTHETIC CLINIC
Practice address
1209 N Center St
Perry, FL 32347-2037
Phone
(850) 843-1834
NPI assigned
Nov 13, 2018
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dulcie Marie Yelverton, ARNPNPI 1093197667
Title
Owner
Phone
(850) 843-1834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1209 N Center St
Perry, FL 32347-2037

Mailing address

1209 N Center St
Perry, FL 32347-2037
Phone (850) 843-1834

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1477021053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N CENTER ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472037",
            "telephone_number": "850-843-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N CENTER ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472037",
            "telephone_number": "850-843-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT MEDICAL AND AESTHETIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "YELVERTON",
        "authorized_official_first_name": "DULCIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-843-1834",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.