Active NPI
Regina D Deiparine, NLMT
- Specialist
- Ormond Beach, FL
National Provider Identifier
1972798494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 45105
- Practice address
- 533 N Nova Rd
Suite 102
Ormond Beach, FL 32174-4447 - Phone
- (386) 615-4990
- Fax
- (386) 615-4951
- NPI assigned
- Sep 7, 2007
- Last updated
- Sep 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 45105 | FL | Primary |
Addresses
Primary practice location
533 N Nova Rd
Suite 102
Ormond Beach, FL 32174-4447
Mailing address
102 Pine Tree Dr
Ormond Beach, FL 32174-2634
Phone (386) 547-3910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45105 | Other | FL | FLORIDA LICENSE |
Other names 1
- Regina D Deiparine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45105 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Comfort Pain Control, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Ormond Beach, FL
- NPI 1285808170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1972798494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PINE TREE DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321742634",
"telephone_number": "386-547-3910",
"fax_number": "386-615-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 N NOVA RD",
"address_2": "SUITE 102",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744447",
"telephone_number": "386-615-4990",
"fax_number": "386-615-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIPARINE",
"first_name": "REGINA",
"middle_name": "D",
"credential": "NLMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "45105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "45105",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "DEIPARINE",
"middle_name": "D",
"credential": "NLMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.