Individual provider Active NPI

Regina Tolson, NP

  • Nurse Practitioner
  • East Bernstadt, KY
National Provider Identifier
1740943265
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3014377 Issued in KY
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

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Ulrich Medical Clinic Nurse Practitioner CurrentSince Oct 19, 2021 Accepting new patients
Ulrich Medical Clinic, LLC Nurse Practitioner PastSince Oct 24, 2021 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.

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

Verify at the official NPI Registry.