Regina Godwin Udo, FNP-C MSN EDS

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP01155 Issued in NM

Practice address

1557 Monte Vista Ave
Las Cruces, NM 88001-5731

Phone

(575) 532-5700

Fax

(575) 532-5733

NPI assigned

Jun 20, 2005

Reactivated

Mar 27, 2006

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 4

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: regina.udo@675.securemail.prognocis.com

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.

• Greeg Family Healthcare Services

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1275660219
  Medicare reassignment NPD
• New Mexico Quickcare LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1174551121
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932104569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015731",
            "telephone_number": "575-532-5700",
            "fax_number": "575-532-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015731",
            "telephone_number": "575-532-5700",
            "fax_number": "575-532-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDO",
        "first_name": "REGINA",
        "middle_name": "GODWIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C MSN EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-03-07",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D1023577",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM016614",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92383521",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "CNP01155",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Ann Turpen, LMSW
• Jacqueline Tuton
• Raymond Milton Tyler, LVN
• Maximino Tzontlimatzi Jr., CASE MANAGER
• David Michael Udero Jr., PTA
• Tera Nicole Uhl, LPCC
• Chibuzo Onyeze Ukaegbu, MD, MPH
• Roberta Ulibarri-Valdez, CPSW
• Patricia Ulloa, CPSW
• Umberto I Garcia MD P a

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.