JENNIFER L REGO (NPI# 1972164275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972164275 |
| Entity Type | Individual |
| Full Name | JENNIFER L REGO |
| Credential | NP |
| Practice Address |
345 Blackstone Blvd Providence RI 02906-4800 |
| Mailing Address |
120 Lewin St Apt 14 Fall River MA 02720-6813 |
| Practice Telephone | 4014556200 |
| Practice Fax Number | 4014556689 |
| Mailing Telephone | 7744517215 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN57335 | RI | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN2294510 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN02117 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919001 | Jennifer H Rego | Social Worker | 965 Concord Street, Framingham, MA 01702 | 2009-10-05 |
| 1871673673 | Jennifer Papciak Rego | Physician Assistant | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2006-10-16 |
| Street Address |
345 BLACKSTONE BLVD |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203690 | Andrew Seth Rosenzweig | Psychiatry & Neurology | 345 Blackstone Blvd, Rm. 232 2nd Floor Annex Building, Providence, RI 02906-4800 | 2005-05-24 |
| 1356940860 | Diane Medeiros Gomes | Pharmacist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-10-26 |
| 1013528199 | Michael Gunson | Physician Assistant | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-08-12 |
| 1902423775 | Elyssa Sham | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-28 |
| 1407472400 | Amy Rebecca Johnson | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-25 |
| 1669096772 | Olivia Hunt | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-04 |
| 1922622125 | Carla Julia Hasson | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906 | 2020-06-03 |
| 1023632395 | Micah Benjamin Duggins-warf | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-03 |
| 1982228060 | Armond Collins | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-03 |
| 1508485301 | Brian Charles Castelluccio | Clinical Neuropsychologist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427457142 | Deborah Horvitz | Nurse Practitioner | 60 Blackstone Blvd, Providence, RI 02906-5401 | 2014-08-19 |
| 1972122364 | Katelyn R Agnew | Nurse Practitioner | 530 N Main St, Providence, RI 02904-5762 | 2020-04-15 |
| 1952947772 | New View Health and Wellness LLC | Nurse Practitioner | 208 Governor St, Providence, RI 02906-3239 | 2019-11-27 |
| 1831733922 | Latoya Lange-smith | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2019-10-31 |
| 1649725946 | Nicole Watkins Brynes | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2016-08-17 |
| 1205239860 | Jennifer J Collins | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2014-09-26 |
| 1205994076 | Lynn Beth Janaway | Nurse Practitioner | 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | 2006-12-05 |
| 1881772929 | Adele Palazzo | Nurse Practitioner | 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | 2006-11-02 |
| 1053499178 | Edward Lyons | Nurse Practitioner | 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540042 | North Road Psychiatry LLC | Nurse Practitioner | 23 North Rd Ste A11, Peace Dale, RI 02879-8108 | 2020-08-31 |
| 1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
| 1174149686 | Goldline Health and Wellness LLC | Nurse Practitioner | 750 East Ave Lowr Level, Pawtucket, RI 02860-6245 | 2020-06-20 |
| 1215562566 | Katie Elizabeth Thayer | Nurse Practitioner | 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 | 2020-03-06 |
| 1477197820 | Jaron Keough | Nurse Practitioner | 232 Pawtucket Ave Apt 1, Pawtucket, RI 02860-5169 | 2019-10-29 |
| 1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
| 1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
| 1306326202 | Samuel David Kaufman | Nurse Practitioner | 34 Rice Ave, E Providence, RI 02914-3147 | 2018-08-20 |
| 1205350980 | Tabitha Ann Imondi | Nurse Practitioner | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2017-08-03 |
| 1366983314 | Alyssa Pullan | Nurse Practitioner | 78 Courtney Ave, Pawtucket, RI 02861-3935 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.