Amanda Regester

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71006529A Issued in IN

Practice address

654 S Walker St
Bloomington, IN 47403-2159

Phone

(812) 369-4344

NPI assigned

Aug 23, 2016

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: amanda-regester@direct.practicefusion.com

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1629523360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032159",
            "telephone_number": "812-369-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032159",
            "telephone_number": "812-369-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474035001",
            "country_code": "US",
            "telephone_number": "812-335-2434",
            "fax_number": "812-335-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGESTER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71006529A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agruen@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "350 S Landmark Ave",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474035001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda-regester@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "654 S Walker St",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474032159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Daniel Reems
• Kerri R Reese
• Jordynn Reeser
• Matthew S Reeves, DO
• Mya Reeves
• Karen Lorraine Reid-Renner, MD MPH
• Maddux Reid
• Rebecca Martinez Reid, PHD
• Kayla Reidy, RBT
• Brigitte Shezelle Reina, MD

• Pediatric Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.