Individual provider Active NPI

Amber Thompson Regalado, NP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1891392718
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019098 Issued in NC
Practice address
16455 Statesville Rd Ste 420
Huntersville, NC 28078-7140
Phone
(048) 922-9497
Fax
(704) 892-2946
NPI assigned
Oct 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 5019098 NC Primary

Addresses

Primary practice location

16455 Statesville Rd Ste 420
Huntersville, NC 28078-7140

Mailing address

16455 Statesville Rd Ste 420
Huntersville, NC 28078-7140
Phone (048) 922-9497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240213002129 NC Practitioner - Nurse Practitioner 7911307541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1771 Tate Blvd SE
Suite 101
Hickory, NC 28602-4250
Phone (828) 315-5110

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

517 Alcove Rd
Suite 102
Mooresville, NC 28117-8574
Phone (704) 660-4750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24868SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of the Carolinas CurrentSince May 26, 2024 Accepting new patients
DLP Frye Medical Group LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1771 Tate Blvd SE
Ste 101
Hickory, NC 28602
Phone (828) 315-5110

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

16455 Statesville Rd
Ste 420
Huntersville, NC 28078
Phone (704) 355-7874

Interoperability endpoints

  • Direct secure messaging: amber.regalado.1@15786.direct.athenahealth.com
  • Direct secure messaging: aregalado1293278@direct.novanthealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1891392718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 420",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787140",
            "telephone_number": "048-922-9497",
            "fax_number": "704-892-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 420",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787140",
            "telephone_number": "048-922-9497",
            "fax_number": "704-892-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "AMBER",
        "middle_name": "THOMPSON",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.