Active NPI
Regina Brown, PTA
- Skilled Nursing Facility
- Forest Hill, TX
National Provider Identifier
1992250013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2072226
- Practice address
- 3223 Maryann Dr
Forest Hill, TX 76119-6625 - Phone
- (254) 768-7419
- NPI assigned
- Aug 18, 2016
- Last updated
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2072226 | TX | Primary |
Addresses
Primary practice location
3223 Maryann Dr
Forest Hill, TX 76119-6625
Mailing address
3223 Maryann Dr
Forest Hill, TX 76119-6625
Phone (254) 768-7419
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 |
|---|---|---|---|
| 2072226 | TX | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1992250013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 MARYANN DR",
"city": "FOREST HILL",
"state": "TX",
"postal_code": "761196625",
"telephone_number": "254-768-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 MARYANN DR",
"city": "FOREST HILL",
"state": "TX",
"postal_code": "761196625",
"telephone_number": "254-768-7419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "REGINA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "2072226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.