Individual provider Active NPI

Rachelle Regueiro, FNP-BC

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1851802920
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9387244 Issued in FL
Practice address
13762 80TH LN N
West Palm Beach, FL 33412-2343
Phone
(954) 554-1165
NPI assigned
Oct 17, 2017
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9387244 FL Primary

Addresses

Primary practice location

13762 80TH LN N
West Palm Beach, FL 33412-2343

Mailing address

3450 Lantana Rd
Ste 100
Lake Worth, FL 33462-1304
Phone (561) 965-1864

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
I20190322000623 FL Practitioner - Nurse Practitioner 8123368453 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9387244FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Associates of the Palm Beaches CurrentSince Dec 16, 2018 Accepting new patients
Hematology Oncology Associates of the Palm Beaches Current Accepting new patients
Hematology Oncology Associates of the Palm Beaches CurrentSince Dec 16, 2018 Accepting new patients

Locations

2300 S Congress Ave
Ste 103
Boynton Beach, FL 33426
Phone (561) 732-2440

3450 Lantana Rd
Ste 100
Lake Worth, FL 33462
Phone (561) 965-1864

12993 Southern Blvd
Ste B
Loxahatchee, FL 33470
Phone (561) 784-3700

4685 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 965-1864

Organizations & group practices 3

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1851802920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LANTANA RD",
            "address_2": "STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621304",
            "telephone_number": "561-965-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13762 80TH LN N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122343",
            "telephone_number": "954-554-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGUEIRO",
        "first_name": "RACHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9387244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.