Individual provider Active NPI

Regine Jeanty, DNP, ARNP, FNP-C

  • Family Nurse Practitioner
  • Lake Park, FL
National Provider Identifier
1831789965
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010896 Issued in FL
Practice address
415 US Highway 1 Ste D
Lake Park, FL 33403-3585
Phone
(561) 867-8130
Fax
(561) 844-6037
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11010896 FL
Family Nurse Practitioner 363LF0000X APRN11010896 FL Primary

Addresses

Primary practice location

415 US Highway 1 Ste D
Lake Park, FL 33403-3585

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

951 NW 13th St
Boca Raton, FL 33486-2359
Phone (561) 392-0310

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address regine.jeanty.1@29601.direct.athenahealth.com
Other URL BocaRaton

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210219000261 FL Practitioner - Nurse Practitioner 4880009190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

415 US Hwy 1
Suite D
Lake Park, FL 33403-3585
Phone (561) 842-5900

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010896FLMDFamily Nurse Practitioner
11010896FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metcare of Florida, Inc CurrentSince Mar 1, 2021 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Aug 1, 2024 Accepting new patients
Metcare of Florida, Inc CurrentSince Mar 1, 2021 Accepting new patients
Metcare of Florida Past Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

875 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 746-2411

875 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 242-9646

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200

415 US Highway 1
Ste D
West Palm Beach, FL 33403
Phone (561) 842-5900

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1831789965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000",
            "fax_number": "561-844-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 1 STE D",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033585",
            "telephone_number": "561-867-8130",
            "fax_number": "561-844-6037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 NW 13th St",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862359",
            "country_code": "US",
            "telephone_number": "561-392-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANTY",
        "first_name": "REGINE",
        "name_prefix": "Mrs.",
        "credential": "DNP, ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11010896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regine.jeanty.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "415 US Highway 1 Ste D",
            "city": "Lake Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334033585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BocaRaton",
            "affiliation": "N",
            "address_1": "951 NW 13th St",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334862359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

Verify at the official NPI Registry.