Active NPI
Regina Valorie Rogala
- Ambulatory Women's Health Care Registered Nurse
- West Salem, WI
National Provider Identifier
1669984464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 96378
- Practice address
- 321 Wagon Dr Apt 202
West Salem, WI 54669-1009 - Phone
- (608) 451-5965
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 96378 | WI | Primary |
Addresses
Primary practice location
321 Wagon Dr Apt 202
West Salem, WI 54669-1009
Mailing address
2 Buchholtz Rd
Fountain City, WI 54629
Phone (205) 303-0033
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 |
|---|---|---|---|
| 96378 | WI | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1669984464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BUCHHOLTZ RD",
"city": "FOUNTAIN CITY",
"state": "WI",
"postal_code": "54629",
"telephone_number": "205-303-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 WAGON DR APT 202",
"city": "WEST SALEM",
"state": "WI",
"postal_code": "546691009",
"telephone_number": "608-451-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGALA",
"first_name": "REGINA",
"middle_name": "VALORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WI",
"license": "96378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Salem, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.