Regina Stephanie Eddie, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN090868 Issued in AZ

Practice address

3285 E Sparrow Ave
Flagstaff, AZ 86004-7794

Phone

(928) 773-4152

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Flagstaff Unified School District

  • Student in an Organized Health Care Education/Training Program
  • Flagstaff, AZ
  • NPI 1275747206
  NPD (past)
• Flagstaff Unified School District #1

  • Local Education Agency (LEA)
  • Flagstaff, AZ
  • NPI 1407982226
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891916037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 THREE MAN TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043004",
            "telephone_number": "928-526-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 E SPARROW AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047794",
            "telephone_number": "928-773-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDIE",
        "first_name": "REGINA",
        "middle_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN090868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115486",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Eason
• East Flagstaff Family Medicine LLC
• Ashley Christopher Eberson, PA-C
• Cheryl L Eccleston, LMT
• Rachelle Dana Eddie, PA-C
• Glenn Edgerton, EDD, LAT
• Sarah A. Edmonds, PHD
• Edward L Wiebe DPM PC
• Brooke Edwards, PHD
• Kyle Collingwood Edwards, D.O.

• School Registered Nurse in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.