REGINA D PRUITT (NPI# 1295940914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295940914 |
| Entity Type | Individual |
| Full Name | REGINA D PRUITT |
| Credential | PA-C |
| Practice Address |
1940 Highway 33 Unit A Pelham AL 35124-4887 |
| Mailing Address |
5125 Summer Place Pkwy Hoover AL 35244-3099 |
| Practice Telephone | 2056644010 |
| Mailing Telephone | 2059374204 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA.493 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-493 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1940 HIGHWAY 33 UNIT A |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-4887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573359 | Kyra Powell | Nurse Practitioner | 1940 Highway 33 Unit A, Pelham, AL 35124-4887 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771183 | Sarah Elizabeth Sloop | Physician Assistant | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2018-12-16 |
| 1053887885 | Rachel B Rigsby | Physician Assistant | 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 | 2018-10-19 |
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1255815908 | Cora Kuhns | Physician Assistant | 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 | 2018-09-19 |
| 1396282026 | Travis Blackburn | Physician Assistant | 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 | 2017-01-19 |
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1255738605 | James Cilimberg | Physician Assistant | 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 | 2014-12-01 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1740583780 | University Orthopaedic Clinic, PC | Physician Assistant | 1732 Temple Ave N, Fayette, AL 35555-1321 | 2010-12-14 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| Find all providers with the same taxonomy | ||||
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| 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.