Individual provider Active NPI

Gisha Regi, NURSE PRACTICTIONER

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1558974428
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141773 Issued in TX
Practice address
1256 N Holland Road
Mansfield, TX 76063
Phone
(817) 717-9597
Fax
(833) 992-1938
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141773 TX Primary

Addresses

Primary practice location

1256 N Holland Road
Mansfield, TX 76063

Mailing address

3807 E Broad St Ste 101
Mansfield, TX 76063-5623
Phone (817) 717-9597

Other practice location 1

3807 E Broad St Ste 101
Mansfield, TX 76063-5623
Phone (817) 717-9597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20201030000645 TX Practitioner - Nurse Practitioner 2860802949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP141773TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: gisha.regi.1@22586.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1558974428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635623",
            "telephone_number": "817-717-9597",
            "fax_number": "833-992-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 N HOLLAND ROAD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-717-9597",
            "fax_number": "833-992-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 E Broad St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635623",
            "country_code": "US",
            "telephone_number": "817-717-9597",
            "fax_number": "833-992-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGI",
        "first_name": "GISHA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTICTIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.