Regina Gwandua

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

984106 Issued in TX

Practice address

4470 Republic Dr
Frisco, TX 75034-6388

Phone

(210) 847-9343

NPI assigned

Jul 7, 2020

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

State licenses

Practice roles

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.

• 1St Careplace America, LLC

  • Home Health Agency
  • Aubrey, TX
  • NPI 1952159204
  NPD Authorized official
• Almond Healthcare Services LLC

  • Home Health Agency
  • Arlington, TX
  • NPI 1831418235
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1649898685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 REPUBLIC DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346388",
            "telephone_number": "210-847-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 REPUBLIC DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346388",
            "telephone_number": "210-847-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWANDUA",
        "first_name": "REGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "984106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustovich Dermatology, PLLC
• Carla Gustovich, MD
• Spencer J Guthrie, LPC
• Eliseth Gutierrez Bridon
• Chrissie Gutierrez
• Quincy Assoku Gyekye, CEO
• Natalie Monique H Guadalupe, M.S.
• H-E-B, LP
• H-E-B, LP
• H&M Ride LLC

• All providers in Frisco, TX
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.