Individual provider Active NPI

Regine Agnant

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1841735248
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341067-1 Issued in NY
Practice address
110 E 59TH St
8TH Floor Suite 8B
New York, NY 10022-1304
Phone
(212) 734-1353
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341067-1 NY Primary

Addresses

Primary practice location

110 E 59TH St
8TH Floor Suite 8B
New York, NY 10022-1304

Mailing address

99 Clent Rd
B102
Great Neck, NY 11021-4900
Phone (914) 646-6500

Other names 1

  • Regine Jean-Pierre Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240725001151 NY Order and Referring Only - Nurse Practitioner 3476839416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341067NYMDLicensed Practical Nurse
F341067-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1841735248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CLENT RD",
            "address_2": "B102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214900",
            "telephone_number": "914-646-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST",
            "address_2": "8TH FLOOR SUITE 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221304",
            "telephone_number": "212-734-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNANT",
        "first_name": "REGINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341067-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINE",
            "last_name": "JEAN-PIERRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.