Individual provider Active NPI

Manju Sigdel-Regmi, NP-C

  • Family Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1649541772
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121257 Issued in TX
Practice address
9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343
Phone
(214) 471-9197
NPI assigned
Jan 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 AP121257 TX Primary

Addresses

Primary practice location

9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343

Mailing address

905 Snowshill TRL
Coppell, TX 75019-2799
Phone (214) 471-9195

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
I20120327000125 TX Practitioner - Nurse Practitioner 7810157039 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
America First Urgent Care PLLC CurrentSince Apr 2, 2021 Accepting new patients
America First Primary Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
J Olivieri Professional Health Network LLC Past Accepting new patients

Locations

809 S MacArthur Blvd
Ste 400
Coppell, TX 75019
Phone (469) 498-2000

Organizations & group practices 3

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": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1649541772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SNOWSHILL TRL",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192799",
            "telephone_number": "214-471-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "214-471-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGDEL-REGMI",
        "first_name": "MANJU",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.