Holly Regan

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C7870 Issued in MS

Practice address

12320 Ashley Dr
Ste D
Gulfport, MS 39503-2550

Phone

(228) 282-3655

NPI assigned

Mar 5, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1962895664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 ASHLEY DR",
            "address_2": "STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032550",
            "telephone_number": "228-282-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 ASHLEY DR",
            "address_2": "STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032550",
            "telephone_number": "228-282-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gilliland LCSW PLLC
• Lakisha Redmond, RMA, CCMA, AHI, PBT
• Haylie Reed, MD
• Roger H Reed, M.D.
• Refined Therapy Group, LLC
• Reggie H. Broom, D.M.D., P.a.
• Jo Ellen Reid, LCSW
• Sarah Rein
• Amy Remel
• Jeremy Lynn Remillard, FNP

• Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.