Individual provider Active NPI

Regina Jean Tambolas, NP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1497052823
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9407621 Issued in FL
Practice address
151 N Nob Hill Rd Ste 205
Plantation, FL 33324-1708
Phone
(202) 681-9661
Fax
(240) 645-4015
NPI assigned
Feb 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 616703 NY
Family Nurse Practitioner 363LF0000X 26NJ00327600 NJ
Family Nurse Practitioner 363LF0000X 9407621 FL Primary
Registered Nurse 163W00000X 26NR15163600 NJ
Family Nurse Practitioner 363LF0000X F336576 NY

Addresses

Primary practice location

151 N Nob Hill Rd Ste 205
Plantation, FL 33324-1708

Mailing address

151 N Nob Hill Rd Ste 205
Plantation, FL 33324-1708
Phone (201) 912-7983

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

LicenseStateTypeSpecialty
26NR15163600NJMDRegistered Nurse
616703NYMDRegistered Nurse
9407621FLMDFamily Nurse Practitioner
F336576NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1497052823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N NOB HILL RD STE 205",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241708",
            "telephone_number": "201-912-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N NOB HILL RD STE 205",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241708",
            "telephone_number": "202-681-9661",
            "fax_number": "240-645-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBOLAS",
        "first_name": "REGINA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "616703",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00327600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9407621",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15163600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.