Individual provider Active NPI

Regina Lynn Woods, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, KY
National Provider Identifier
1841259272
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3003530 Issued in KY
Practice address
119 Hereford Curve Road
Jamestown, KY 42629
Phone
(270) 343-2551
Fax
(606) 679-4782
NPI assigned
Mar 23, 2006
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3530P KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3003530 KY Primary

Addresses

Primary practice location

119 Hereford Curve Road
Jamestown, KY 42629

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other practice location 1

10101 Linn Station Rd # Suie600
Louisville, KY 40223-3848
Phone (502) 589-8600

Other practice location 2

2608 Ring Rd Ste B107
Elizabethtown, KY 42701
Phone (270) 506-3741

Other identifiers 4

IdentifierTypeStateIssuer
500028784OtherKYRAILROAD MEDICARE
78009479MedicaidKY
11480669OtherCAQH
CK5471OtherKYRAILROAD MEDICARE

Other names 1

  • Ms. Regina Lynn Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090611000174 KY Practitioner - Nurse Practitioner 0244380327 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3530PKYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Apr 9, 2022 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. CurrentSince Jul 6, 2021 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Apr 9, 2022 Accepting new patients
Seven Counties Services, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Astra Behavioral Health LLC Psychiatric/Mental Health CurrentSince Apr 1, 2019 Accepting new patients
Cumberland Family Medical Center Inc PastSince Dec 26, 2021 Accepting new patients
Cumberland Family Medical Center Inc PastSince Jul 25, 2021 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

2608 Ring Rd
Ste B107
Elizabethtown, KY 42701
Phone (270) 506-3741

89 C Michael Davenport Blvd
Ste 2
Frankfort, KY 40601
Phone (502) 875-0561

301 Professional Park Dr
Glasgow, KY 42141
Phone (270) 651-5004

311 W High St
Lebanon, KY 40033
Phone (270) 593-5811

10101 Linn Station Rd
Ste 600
Louisville, KY 40223
Phone (502) 586-8900

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

350 Langdon St
Somerset, KY 42503
Phone (606) 678-8155

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1841259272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HEREFORD CURVE ROAD",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "42629",
            "telephone_number": "270-343-2551",
            "fax_number": "606-679-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Linn Station Rd # Suie600",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233848",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2608 Ring Rd Ste B107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "42701",
            "country_code": "US",
            "telephone_number": "270-506-3741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "REGINA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3530P",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3003530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500028784",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78009479",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11480669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5471",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "TAYLOR",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, KY

Sources for this page

Verify at the official NPI Registry.