MRS. REGINA MICHELLE BETTS


Address: 12450 La Grange Rd, Louisville, KY 40245-1901
Phone: 5026384783

MRS. REGINA MICHELLE BETTS (NPI# 1194191247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194191247
Entity Type Individual
Full Name MRS. REGINA MICHELLE BETTS
Other Name MRS. REGINA MICHELLE SIRCY
Credential NP
Practice Address 12450 La Grange Rd
Louisville
KY 40245-1901
Mailing Address 2620 Elm Hill Pike
Nashville
TN 37214-3108
Practice Telephone 5026384783
Mailing Telephone 6154254200
Enumeration Date 2015-08-12
Last Update Date 2015-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3009318 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12450 LA GRANGE RD
City LOUISVILLE
State KY
Zip Code 40245-1901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053345819 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 12450 La Grange Rd, Louisville, KY 40245-1901 2006-07-10
1477152478 Brian Cheek Pharmacist 12450 La Grange Rd, Louisville, KY 40245-1901 2020-10-21
1497369961 Norah Altairi Pharmacist 12450 La Grange Rd, Louisville, KY 40245-1901 2020-09-02
1518599638 Jessica Woodall Pharmacist 12450 La Grange Rd, Louisville, KY 40245-1901 2020-02-06
1295126795 Ashley Brooke Flynn Nurse Practitioner 12450 La Grange Rd, Louisville, KY 40245 2015-02-05
1679996631 Kiosk Medicine Kentucky LLC Nurse Practitioner 12450 La Grange Rd, Louisville, KY 40245-1901 2014-01-28
1114368099 Todd Walker Pharmacist 12450 La Grange Rd, Louisville, KY 40245-1901 2013-07-08
1205121779 Sara L. Dean Pharmacist 12450 La Grange Rd, Louisville, KY 40245-1901 2011-06-13
1912224965 Joanne Hazelwood Nurse Practitioner 12450 La Grange Rd, Louisville, KY 40245-1901 2010-04-30

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1083247753 Stepping Stones Pediatric Therapy, LLC Early Intervention Provider Agency 330 Cranbury Way, Louisville, KY 40245 2020-02-20
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1174160725 Anne S Hill Technician 16621 Taunton Vale Rd, Louisville, KY 40245 2019-12-03
1750808937 Amy Judy Assistant Behavior Analyst 4512 Meadowlark Manor Dr, Louisville, KY 40245 2017-08-28
1104356567 Mmr Cardiovascular Consulting LLC Internal Medicine 1101 Glenlake Way, Louisville, KY 40245 2017-06-18
1952830135 Staci Marie Trofimov Dietitian, Registered 13008 Willow Forest Drive, Louisville, KY 40245 2017-06-09
1629524913 Forefront Dermatology, S.c. Dermatology 159 S. English Station Road, Louisville, KY 40245 2016-08-28
1861867830 Jamila Hadden Counselor 111 Parkview Dr., Louisville, KY 40245 2015-12-02
1538570312 Brian Johnson Case Manager/Care Coordinator 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 2014-05-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1114525540 Richard A Anane Nurse Practitioner 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 2020-10-16
1427656081 Elma Mustic Nurse Practitioner 9714 Boxford Way, Louisville, KY 40242-2305 2020-10-15
1679171318 Cassandra Jane Lee Nurse Practitioner 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 2020-10-14
1942817762 Merritt Borders Nurse Practitioner 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 2020-09-25
1114533536 Lyssa Alexandra Miller Nurse Practitioner 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 2020-09-21
1174138713 Paola Cristina Maldonado Nurse Practitioner 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 2020-09-10
1033722525 Bynisha Robertson Nurse Practitioner 5312 Sprigwood Ln, Louisville, KY 40291-1135 2020-08-25
1154931202 Heather M Karem Nurse Practitioner 10207 Hartley Dr, Louisville, KY 40223-2735 2020-08-04
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Competitor

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City LOUISVILLE
Zip Code 40245

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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