Active NPI
Josalyn Regedanz
- Driver
- Saint Marys, OH
National Provider Identifier
1669073532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- TX493394
- Practice address
- 720 Armstrong St
Saint Marys, OH 45885-1800 - Phone
- (419) 394-7451
- NPI assigned
- Nov 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | TX493394 | OH | Primary |
Addresses
Primary practice location
720 Armstrong St
Saint Marys, OH 45885-1800
Mailing address
530 S Main St
Lima, OH 45804-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106447890099 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mcdonaldk@frcohio.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX493394 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1669073532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ARMSTRONG ST",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458851800",
"telephone_number": "419-394-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGEDANZ",
"first_name": "JOSALYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "TX493394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106447890099",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mcdonaldk@frcohio.com",
"affiliation": "N",
"address_1": "720 Armstrong St",
"city": "Saint Marys",
"state": "OH",
"country_code": "US",
"postal_code": "458851800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.