Individual provider Active NPI

Regina Barrett

  • Behavior Technician
  • Monroe, NC
National Provider Identifier
1770152258
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
30082246
Practice address
2125 Commerce Dr Apt 107
Monroe, NC 28110-2863
Phone
(980) 293-0201
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 30082246 Primary

Addresses

Primary practice location

2125 Commerce Dr Apt 107
Monroe, NC 28110-2863

Mailing address

2125 Commerce Dr Apt 107
Monroe, NC 28110-2863
Phone (980) 293-0201

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Unknown Other
Other URL Unknown Other

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

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1770152258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 COMMERCE DR APT 107",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102863",
            "telephone_number": "980-293-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 COMMERCE DR APT 107",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102863",
            "telephone_number": "980-293-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "REGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "30082246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Unknown",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "2125 Commerce Dr Apt 107",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281102863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Unknown",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "2125 Commerce Dr Apt 107",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281102863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.