Regina Maurice Etim, SPECIMEN COLLECTOR

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

8300 Broadway Ste A1
Merrillville, IN 46410-6285

Phone

(779) 236-7071

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1790538742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W 84TH DR APT G181",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108424",
            "telephone_number": "779-236-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE A1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106285",
            "telephone_number": "779-236-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIM",
        "first_name": "REGINA",
        "middle_name": "MAURICE",
        "credential": "SPECIMEN COLLECTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Espinoza
• Frances L Essary, RN CRNP
• Samia Katherine Esseddiqi, CRNA
• Essential Care Connect LLC
• Cedrick Estabillo, RBT
• Emily Anne Evans, LCSW
• Jacob C Evans
• Everest Healthcare Indiana, Inc.
• Melissa Michelle Evers
• Everside Health, LLC

• Clinical Laboratory Director (Non-physician) in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Laboratory Director (Non-physician) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.