Active NPI
Regina Charlotte Bollaert, NP
- Nurse Practitioner
- Bettendorf, IA
National Provider Identifier
1487760187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 1004 State St
Bettendorf, IA 52722-4856 - Phone
- (563) 359-5535
- NPI assigned
- Aug 23, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IA | Primary |
Addresses
Primary practice location
1004 State St
Bettendorf, IA 52722-4856
Mailing address
555 Valley View Dr
Moline, IL 61265-6138
Phone (309) 743-7308
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-001209 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487760187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-743-7308",
"fax_number": "309-765-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 STATE ST",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527224856",
"telephone_number": "563-359-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLAERT",
"first_name": "REGINA",
"middle_name": "CHARLOTTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
- Joshua David Blunt, D.C., M.S.
- Beth Bly, PTA
- Board of Trustees Grand Charity Fund Grand Lodge of Iowa a F & a M
- Julie Kay Williams Bockenstedt, PHD, LISW, LCSW
- Body Alignment Center
- Emily J Boswell, DPT
- Cole Bousselot, DDS
- Geoffrey Kevan Bowman, M.D.
- Braaten Health LLC
- Braaten Health LLC Dba Midwest Therapy Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.