Regina D Pedersen, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA463 Issued in NV

Practice address

960 Caughlin Xing Ste 100
Reno, NV 89519-0692

Phone

(775) 323-7828

Fax

(775) 348-5809

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: rpedersen@plthc.directbygreenway.com

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952427734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PKWY STE 379",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-323-7828",
            "fax_number": "775-348-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CAUGHLIN XING STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190692",
            "telephone_number": "775-323-7828",
            "fax_number": "775-348-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 N Arlington Ave Ste 335",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034460",
            "country_code": "US",
            "telephone_number": "775-323-7828",
            "fax_number": "775-348-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "REGINA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "PA463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952427734",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edyl Zarah Y Peck
• Joel Peck, PT, DPT,
• Kayla L. Peck
• Lisa Renee Peck, PT
• Abhinand Venkata Peddada, MD
• Pediatric After-Hours Care
• Kathleen Peele, APRN
• Peggy D. Preston, DDS, LTD. (Moana Dental Care)
• Isabella Peissner
• Jaime Lynn Pekari, RD

• Family Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.