Individual provider Active NPI

Marna Kay Regehr, FNP

  • Family Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1598075194
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170032 Issued in VA
Practice address
209 Old Waterford Rd NW
Leesburg, VA 20176-2116
Phone
(703) 779-2801
Fax
(703) 779-9733
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R092480 MD
Family Nurse Practitioner 363LF0000X 0024170032 VA Primary

Addresses

Primary practice location

209 Old Waterford Rd NW
Leesburg, VA 20176-2116

Mailing address

209 Old Waterford Rd NW
Leesburg, VA 20176-2116
Phone (703) 779-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180420001414 MD Order and Referring Only - Nurse Practitioner 8820260292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170032VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1598075194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 OLD WATERFORD RD NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762116",
            "telephone_number": "703-779-2801",
            "fax_number": "703-779-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 OLD WATERFORD RD NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762116",
            "telephone_number": "703-779-2801",
            "fax_number": "703-779-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGEHR",
        "first_name": "MARNA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R092480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.