Active NPI
Tiffany Lockhart Reguera, F.N.P.
- Family Nurse Practitioner
- Anderson, CA
National Provider Identifier
1962485839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13779
- Practice address
- 3082 McMurray Dr
Anderson, CA 96007-3544 - Phone
- (530) 365-4420
- Fax
- (530) 365-5186
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 554914 | CA | |
| Family Nurse Practitioner | 363LF0000X | 13779 | CA | Primary |
Addresses
Primary practice location
3082 McMurray Dr
Anderson, CA 96007-3544
Mailing address
2760 N. Balls Ferry Rd.
Anderson, CA 96007-3537
Phone (530) 365-4412
Other names 1
- Ms. Tiffany Lockhart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13779 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Medical Services, Inc. | Current | Accepting new patients | |
| John R. Munro M.D. | Past | Accepting new patients |
Locations
3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412
1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Palo Cedro, CA
- NPI 1770993370
-
- Family Medicine Physician
- Anderson, CA
- NPI 1568644755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1962485839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 N. BALLS FERRY RD.",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073537",
"telephone_number": "530-365-4412",
"fax_number": "530-365-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 MCMURRAY DR",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073544",
"telephone_number": "530-365-4420",
"fax_number": "530-365-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGUERA",
"first_name": "TIFFANY",
"middle_name": "LOCKHART",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "554914",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "13779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "LOCKHART",
"prefix": "MS.",
"credential": "F.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.