Individual provider Active NPI

Regina Vera Evidente

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1831615335
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP139153 Issued in TX
Practice address
2806 Real St
Austin, TX 78722-1715
Phone
(512) 474-1411
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP139153 TX Primary

Addresses

Primary practice location

2806 Real St
Austin, TX 78722-1715

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209
Phone (512) 978-9309

Other practice location 1

104 Rex Kerwin Ct
Pflugerville, TX 78660-2630
Phone (512) 251-3915

Other practice location 2

9801 S 1st St
Austin, TX 78748-6760
Phone (512) 292-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171214000045 DC Practitioner - Nurse Practitioner 7315205697 Reassigns benefits to 1 organization
I20250616002528 TX Practitioner - Nurse Practitioner 7315205697 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 8, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 8, 2018 Accepting new patients
Travis County Healthcare District Family Medicine CurrentSince Apr 11, 2025 Accepting new patients
Community Care Collaborative PastSince Sep 1, 2024 Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

2806 Real St
Austin, TX 78722
Phone (512) 326-1141

9801 S 1st St
Austin, TX 78748
Phone (512) 292-3071

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

104 Rex Kerwin Ct
Pflugerville, TX 78660
Phone (512) 251-3915

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Organizations & group practices 4

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1831615335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209",
            "telephone_number": "512-978-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 REAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221715",
            "telephone_number": "512-474-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Rex Kerwin Ct",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786602630",
            "country_code": "US",
            "telephone_number": "512-251-3915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9801 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486760",
            "country_code": "US",
            "telephone_number": "512-292-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVIDENTE",
        "first_name": "REGINA",
        "middle_name": "VERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP139153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.