Active NPI
Regina Kaufman, M.A.
- Developmental Therapist
- Jacksonville Beach, FL
National Provider Identifier
1871902486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1212 13TH St N
Jacksonville Beach, FL 32250-3682 - Phone
- (727) 741-4305
- Fax
- (904) 306-7826
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
1212 13TH St N
Jacksonville Beach, FL 32250-3682
Mailing address
312 Keelers CT
Ponte Vedra Beach, FL 32082-2180
Phone (904) 285-0619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1871902486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 KEELERS CT",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320822180",
"telephone_number": "904-285-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 13TH ST N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503682",
"telephone_number": "727-741-4305",
"fax_number": "904-306-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "REGINA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.