Regan Elizabeth Niemann

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007697 Issued in FL

Practice address

12225 28TH St N
St Petersburg, FL 33716-1860

Phone

(727) 561-4303

NPI assigned

Jun 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1952928772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 28TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 28TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161860",
            "telephone_number": "727-561-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "REGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9356693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY",
            "identifier": "APRN11007697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Agresto, Psychology P.a.
• Krissle Nicome, APRN
• Abigail Grace Niebrugge, BCABA
• Michael Louis Nieder, M.D.
• Michael Gene Niederbrach Jr.
• Erin Joan Nienke, APRN
• Thomas Nienke, DO
• Fawn Arlene Nieuwenhoff, ARNP
• Daime Del Carmen Nieves Munoz, APRN
• Alexandra Nieves Pagan, MSW

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.