Individual provider Active NPI

Regina Denise Arnold, CRNP

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1972025674
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308511 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453
Phone
(718) 299-7295
NPI assigned
Jul 13, 2017
Last updated
Jan 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F308511 NY
Primary Care Nurse Practitioner 363LP2300X AG02170125 AL
Adult Health Nurse Practitioner 363LA2200X F308511 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453

Mailing address

5014 16TH Ave
Ste 13
Brooklyn, NY 11204-1404
Phone (718) 299-7295

Other practice location 1

7001 Wrigley Way
Cottondale, AL 35453-4362
Phone (205) 633-3885

Other names 1

  • Ms. Regina Deinse Hawkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NY, MS, NJ, CA, MD, VT, MI, ME, NH, MA11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20170829002731 IA Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20180327002079 NY Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 3 organizations
Practice locations: Catskill, NY
I20220426001917 MS Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20230605001101 NJ Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20231113001557 CA Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20240508002770 MD Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20240618001648 VT Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20260218003172 MI Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20260219000565 ME Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20260220000108 NH Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization
I20260223000086 MA Practitioner - Nurse Practitioner 0042583916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F308511NYMDNurse Practitioner
AG02170125ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 1, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Regina Arnold CurrentSince May 24, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 7, 2022 Accepting new patients
Essen Medical Associates,PC CurrentSince May 1, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2018 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 13, 2023 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

6 City Ctr
Portland, ME 04101

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1972025674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 16TH AVE",
            "address_2": "STE 13",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041404",
            "telephone_number": "718-299-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10453",
            "telephone_number": "718-299-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Wrigley Way",
            "address_purpose": "LOCATION",
            "city": "Cottondale",
            "state": "AL",
            "postal_code": "354534362",
            "country_code": "US",
            "telephone_number": "205-633-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "REGINA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F308511",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "AG02170125",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "HAWKINS",
            "middle_name": "DEINSE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.