Regina L Soderberg, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9165396 Issued in FL

Practice address

3914 E State Road 64
Bradenton, FL 34208-9059

Phone

(941) 216-3800

Fax

(941) 216-3703

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Regina Lydon Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Florida - Jacksonville II LLCGroup PAC ID 2264812791, 36 clinicians

Coastal Senior Healthcare IncGroup PAC ID 3678840600, 7 clinicians

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
• Discovery at Home Gulf Coast Home health agency, Tampa, FL, CCN 683155
• Empath Tidewell Hospice Hospice, Sarasota, FL, CCN 101521
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4
• Direct secure messaging: regina.soderberg.1@16119.direct.athenahealth.com

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.

• Coastal Senior Healthcare Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Bradenton, FL
  • NPI 1497289110
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Florida - Jacksonville II LLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1184354524

  FL

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Discovery at Home Gulf Coast LLC

  • Home Health Agency
  • Tampa, FL
  • NPI 1629403720
  Care Compare affiliation
• Pinnacle Home Care of Hillsborough, LLC.

  • Home Health Agency
  • Tampa, FL
  • NPI 1437663465
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation
• Tidewell Hospice, Inc.

  dba Empath Tidewell Hospice

  • Community Based Hospice Care Agency
  • Sarasota, FL
  • NPI 1417954645
  Care Compare affiliation

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1508151838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 AMEN CORNER PL",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342218483",
            "telephone_number": "727-543-6277",
            "fax_number": "941-216-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERBERG",
        "first_name": "REGINA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9165396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "LYDON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luretta Sindonia Snyder, LCSW
• Thomas David Snyder, PA-C
• Brett Snyderman, PHARMD
• Margarida Maria Soares Lance, M.D
• Veronica Socas, MD
• Antonis Sofroniou, MD
• Ishmael Soghrati, DO
• Suede Abbas Sohooli, BCBA
• Susan Lorraine Sokalsky, DPT
• Solaire Therapy and Wellness, PLLC

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.