Individual provider Active NPI

Nicole Danielle Regan, RDN

  • Registered Dietitian
  • Mineola, NY
National Provider Identifier
1780133876
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
008843 Issued in NY
Practice address
101 Mineola Blvd
2ND Floor Winthrop Pediatric Endocrinology
Mineola, NY 11501-4007
Phone
(516) 663-3511
Fax
(516) 663-3070
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 008843 NY
Nutrition Education Nutritionist 133NN1002X 008843 NY
Registered Dietitian 133V00000X 008843 NY Primary

Addresses

Primary practice location

101 Mineola Blvd
2ND Floor Winthrop Pediatric Endocrinology
Mineola, NY 11501-4007

Mailing address

101 Mineola Blvd
2ND Floor Winthrop Pediatric Endocrinology
Mineola, NY 11501
Phone (516) 663-3511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nregan239115@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008843NYMDOccupational Therapy Assistant

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1780133876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MINEOLA BLVD",
            "address_2": "2ND FLOOR WINTHROP PEDIATRIC ENDOCRINOLOGY",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-663-3511",
            "fax_number": "516-663-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MINEOLA BLVD",
            "address_2": "2ND FLOOR WINTHROP PEDIATRIC ENDOCRINOLOGY",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014007",
            "telephone_number": "516-663-3511",
            "fax_number": "516-663-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "008843",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "008843",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nregan239115@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "101 Mineola Blvd",
            "address_2": "2nd Floor Winthrop Pediatric Endocrinology",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.