Individual provider Active NPI

Regina Taylor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1750118568
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
316007 Issued in AZ
Practice address
824 N 99TH Ave
Avondale, AZ 85323-5324
Phone
(877) 931-9142
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 316007 AZ Primary

Addresses

Primary practice location

824 N 99TH Ave
Avondale, AZ 85323-5324

Mailing address

824 N 99TH Ave
Avondale, AZ 85323-5324
Phone (877) 931-9142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250603002434 AZ Practitioner - Nurse Practitioner 4880103670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

824 N 99TH Ave
Suite 107And108
Avondale, AZ 85323-5324
Phone (623) 907-1457

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. PastSince Apr 20, 2025 Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 108
Avondale, AZ 85323
Phone (602) 907-6520

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180

358 E Javelina Ave
Ste 103
Mesa, AZ 85210
Phone (480) 507-3180

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm E
Phoenix, AZ 85008
Phone (602) 273-9999

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

250 S Toole Ave
Ste C
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: regina.taylorbht.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 9

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1750118568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235324",
            "telephone_number": "877-931-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235324",
            "telephone_number": "877-931-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "316007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.