Individual provider Active NPI

Erika Regis

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1871856211
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11020089 Issued in FL
Practice address
1880 NW 36TH St
Oakland Park, FL 33309-5752
Phone
(973) 818-9654
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NP05734800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11020089 FL Primary

Addresses

Primary practice location

1880 NW 36TH St
Oakland Park, FL 33309-5752

Mailing address

1880 NW 36TH St
Oakland Park, FL 33309-5752
Phone (973) 818-9654

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
I20240104000526 FL Practitioner - Nurse Practitioner 1658722608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 NW 62ND St
Suite 303
Fort Lauderdale, FL 33309-1850
Phone (954) 951-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NP05734800NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Mind & Body LLC Psychiatric/Mental Health CurrentSince Jan 31, 2023 Accepting new patients
Cross Functional Medical Care PA CurrentSince Mar 6, 2024 Accepting new patients
Moore Medical Group Inc PastSince Mar 6, 2024 Accepting new patients

Locations

1500 NW 62nd St
Ste 303
Ft Lauderdale, FL 33309
Phone (954) 951-2242

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1871856211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 NW 36TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095752",
            "telephone_number": "973-818-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 NW 36TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095752",
            "telephone_number": "973-818-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGIS",
        "first_name": "ERIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NP05734800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11020089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.