Individual provider Active NPI

Gabriel Regino II, FNP

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1710589627
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019575 Issued in TX
Practice address
17490 Highway 3 Ste A200
Webster, TX 77598-3600
Phone
(281) 672-7262
NPI assigned
Nov 15, 2020
Last updated
Nov 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 1019575 TX Primary

Addresses

Primary practice location

17490 Highway 3 Ste A200
Webster, TX 77598-3600

Mailing address

3522 Old Holly Dr
Pearland, TX 77584-1934
Phone (832) 622-2398

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
I20210427000688 TX Practitioner - Nurse Practitioner 9638587918 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CPF Cardiology Associates, P.a. CurrentSince Oct 16, 2023 Accepting new patients
Nadir Mir Ali, M.D., PLLC CurrentSince Jan 19, 2021 Accepting new patients

Locations

6807 Emmett F Lowry Expy
Ste 302D
Texas City, TX 77591
Phone (832) 905-5940

450 Blossom St
Ste D
Webster, TX 77598
Phone (832) 905-4044

17490 Highway 3
Ste A200
Webster, TX 77598
Phone (281) 338-6500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1710589627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 OLD HOLLY DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841934",
            "telephone_number": "832-622-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17490 HIGHWAY 3 STE A200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983600",
            "telephone_number": "281-672-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINO",
        "first_name": "GABRIEL",
        "name_suffix": "II",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.