Individual provider Active NPI

Regina L Hathaway, FNP

  • Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1982661930
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201135 Issued in NC
Practice address
2485D Hemby LN
Med Careeast PA
Greenville, NC 27834-3733
Phone
(252) 758-5888
Fax
(252) 758-9888
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201135 NC Primary

Addresses

Primary practice location

2485D Hemby LN
Med Careeast PA
Greenville, NC 27834-3733

Mailing address

2485D Hemby LN
Greenville, NC 27834-3733
Phone (252) 758-5888

Other identifiers 1

IdentifierTypeStateIssuer
7000999MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001185 NC Practitioner - Nurse Practitioner 1254320757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1425 E Firetower Rd
Suite 100
Greenville, NC 27858-5872
Phone (252) 758-5888

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, NC, CCN 347031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201135NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Careeast P a CurrentSince Aug 15, 2007 Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC Past Accepting new patients
Emergency Medicine Physicians of Lenoir County PLLC Past Accepting new patients

Locations

2485 Hemby Ln
Ste D
Greenville, NC 27834
Phone (252) 758-5888

1425 E Fire Tower Rd
#100
Greenville, NC 27858
Phone (252) 758-5888

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1982661930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485D HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343733",
            "telephone_number": "252-758-5888",
            "fax_number": "252-758-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485D HEMBY LN",
            "address_2": "MED CAREEAST PA",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343733",
            "telephone_number": "252-758-5888",
            "fax_number": "252-758-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "REGINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.