Individual provider Active NPI

Regina Marie Burkhead, LPN

  • Licensed Practical Nurse
  • Davenport, IA
National Provider Identifier
1720940828
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
P51404 Issued in IA
Practice address
2826 W Locust St Ste 2a
Davenport, IA 52804-3354
Phone
(563) 332-8528
Fax
(563) 445-8672
NPI assigned
Nov 26, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X P51404 IA Primary

Addresses

Primary practice location

2826 W Locust St Ste 2a
Davenport, IA 52804-3354

Mailing address

2826 W Locust St Ste 2a
Davenport, IA 52804-3354
Phone (563) 349-6147

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

LicenseStateTypeSpecialty
P51404IAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1720940828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 W LOCUST ST STE 2A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043354",
            "telephone_number": "563-349-6147",
            "fax_number": "563-445-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 W LOCUST ST STE 2A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043354",
            "telephone_number": "563-332-8528",
            "fax_number": "563-445-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHEAD",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P51404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.