Regina D Sellers

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

815 57TH St Ste G
Kenosha, WI 53140-4062

Phone

(414) 326-6220

NPI assigned

Dec 2, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Our Future Prenatal LLC

  • Community Health Clinic/Center
  • Kenosha, WI
  • NPI 1740938638
  NPD Authorized official

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1588322945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 N 74TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184716",
            "telephone_number": "414-326-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 57TH ST STE G",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404062",
            "telephone_number": "414-326-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "REGINA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler W Secor, LPC
• Jeannie Seefeldt, CSW, CADC III
• Selective Hearing Centers, LC
• Selective Hearing Centers, LLC
• Emma Nicole Self, ATC
• Megan D. Semph, DPT
• Jeffrey S Serchen, PT
• Jessica R Serpe, PHARM D
• Frank Serrecchia, M.D.
• Amy Shackelford

• Community Health Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Community Health Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.