Marcia A Regalado, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704268978 Issued in MI

Practice address

11208 Kennebec Ave
Allen Park, MI 48101-1008

Phone

(586) 416-0845

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1891354502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11208 KENNEBEC AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011008",
            "telephone_number": "586-416-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11208 KENNEBEC AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011008",
            "telephone_number": "586-416-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "MARCIA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704268978",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MI",
            "license": "4704268978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umadevi Ramachandran, RPT
• Mustafa Raychouni, DC
• Stephanie A Rea, PAC
• Joseph Fred Recknagel, A.T.C.
• Ashley A Reed, ATC
• Ateeq K Rehman, M.D.
• Makayla Dawn Reid, DDS
• Rene's Home Care Nursing LLC
• Jasmeir Reynolds
• Richard W. Strong,D.D.S.,P.C.

• Administrator Registered Nurse in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.