Active NPI
Regina Tolson, NP
- Nurse Practitioner
- East Bernstadt, KY
National Provider Identifier
1740943265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3014377
- Practice address
- 1655 E Highway 3094
East Bernstadt, KY 40729-6216 - Phone
- (606) 843-2339
- NPI assigned
- Oct 21, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3014377 | KY | Primary |
Addresses
Primary practice location
1655 E Highway 3094
East Bernstadt, KY 40729-6216
Mailing address
PO Box 328
East Bernstadt, KY 40729-0328
Phone (606) 843-2339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211209002154 | KY | Practitioner - Nurse Practitioner | 6305236175 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ulrich Medical Clinic | Nurse Practitioner | Current | Accepting new patients |
| Ulrich Medical Clinic, LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1655 E Highway 3094
East Bernstadt, KY 40729
Phone (606) 729-5372
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 and National Provider Directory roles.
-
- Family Medicine Physician
- East Bernstadt, KY
- NPI 1184290645
KY, Nurse Practitioner
-
- Family Medicine Physician
- East Bernstadt, KY
- NPI 1043339708
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1740943265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "EAST BERNSTADT",
"state": "KY",
"postal_code": "407290328",
"telephone_number": "606-843-2339",
"fax_number": "606-843-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E HIGHWAY 3094",
"city": "EAST BERNSTADT",
"state": "KY",
"postal_code": "407296216",
"telephone_number": "606-843-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLSON",
"first_name": "REGINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3014377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Bernstadt, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.