Individual provider Active NPI

Regina Brewer, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1912388265
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128062 Issued in TX
Practice address
6411 E Northwest Hwy Ste 120
Dallas, TX 75231-8007
Phone
(469) 495-9110
NPI assigned
Jun 12, 2015
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128062 TX Primary

Addresses

Primary practice location

6411 E Northwest Hwy Ste 120
Dallas, TX 75231-8007

Mailing address

6411 E Northwest Hwy Ste 120
Dallas, TX 75231-8007
Phone (469) 495-9110

Other practice location 1

1411 Main St
Dallas, TX 75202-4052
Phone (214) 749-4657

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbrewer2017506@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128062TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texacare Urgent Care, PLLC CurrentSince Mar 15, 2018 Accepting new patients
Swiftcare Urgent Care, PLLC CurrentSince Nov 19, 2017 Accepting new patients
Texas Health Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
United Primary Clinic Care LLC Past Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

1201 N Main St
Ste 600
Euless, TX 76039
Phone (682) 738-3460

3107 Greene Ave
Ft Worth, TX 76109
Phone (817) 439-9539

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: rbrewer2017506@direct.texashealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1912388265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 E NORTHWEST HWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318007",
            "telephone_number": "469-495-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 E NORTHWEST HWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318007",
            "telephone_number": "469-495-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Main St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752024052",
            "country_code": "US",
            "telephone_number": "214-749-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbrewer2017506@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6411 E Northwest Hwy Ste 120",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752318007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.