Regina Victoria Maloney, RN, DNP, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

20172102 Issued in MO

Practice address

851 E 5TH St Ste 300
Washington, MO 63090-3130

Phone

(636) 390-8555

Fax

(636) 390-9444

NPI assigned

Sep 25, 2017

Last updated

Jan 10, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1902315609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 300",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "636-390-8555",
            "fax_number": "636-390-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 300",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "636-390-8555",
            "fax_number": "636-390-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Laura K Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633663990",
            "country_code": "US",
            "telephone_number": "636-379-9633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "REGINA",
        "middle_name": "VICTORIA",
        "credential": "RN, DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "20172102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Charlene Lyons, BSN, RN
• James G Mace, DDS
• Jamie Ranae Mangels
• Melissa E Manhart, NP
• Lisa R Martin Hawver, MD
• Cindy Martin, RD, LD, CDE
• Darla Martin, RD

• Pediatric Nurse Practitioner in Washington, MO
• Providers in Washington, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.