THERESA AUGUSTA REGIS (NPI# 1609843358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609843358 |
| Entity Type | Individual |
| Full Name | THERESA AUGUSTA REGIS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1155 35th Ln Suite 100 Vero Beach FL 32960-6521 |
| Practice Telephone | 7725692330 |
| Practice Fax Number | 7725692630 |
| Mailing Telephone | 7725692330 |
| Mailing Fax Number | 7725692630 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104895 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1155 35TH LN SUITE 100 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626079 | Vero Orthopaedics II Pa | Orthopaedic Surgery | 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 | 2005-08-11 |
| 1184175861 | Indian River Health Services Inc | Internal Medicine | 1155 35th Ln, 202, Vero Beach, FL 32960-6521 | 2016-10-18 |
| 1578916219 | Andrew Mullins | Physical Therapist | 1155 35th Ln, Ste 100, Vero Beach, FL 32960-6521 | 2016-07-18 |
| 1831566892 | Pamela Brower | Nurse Practitioner | 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 | 2015-08-26 |
| 1942686969 | Sheree Ewar | Nurse Practitioner | 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 | 2015-07-31 |
| 1710317706 | Marieke Dam | Physical Therapist | 1155 35th Ln, 100, Vero Beach, FL 32960-6521 | 2013-11-12 |
| 1669744926 | Allan C Loesch | Physician Assistant | 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 | 2012-02-02 |
| 1871864264 | Sanders Dermatology and Skin Cancer Center,llc | Dermatology | 1155 35th Ln, Suite 202, Vero Beach, FL 32960-6521 | 2012-01-18 |
| 1518264183 | Richard Frates | Physical Therapist | 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 | 2011-02-17 |
| 1154625234 | Indian River Health Services Inc | Internal Medicine | 1155 35th Ln, Suite 204, Vero Beach, FL 32960-6521 | 2011-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861827966 | Nicholas T Woltjen | Physician Assistant | 5070 A1a, Vero Beach, FL 32963 | 2013-09-08 |
| 1316954902 | Nancy Laureano | Physician Assistant | 1400 27th St, Vero Beach, FL 32960-0303 | 2006-08-03 |
| 1659361988 | Nicole A Cowette | Physician Assistant | 1600 37th St, Vero Beach, FL 32960-4863 | 2005-10-27 |
| 1013919513 | Craig Joseph Romero | Physician Assistant | 1000 36th St, Vero Beach, FL 32960-4862 | 2005-08-15 |
| 1124537493 | Brianna Farnell | Physician Assistant | 1000 36th St, Vero Beach, FL 32960-4862 | 2017-09-29 |
| 1447769377 | Catherine Westbrook | Physician Assistant | 3555 10th Ct, Vero Beach, FL 32960-5013 | 2017-09-22 |
| 1134433311 | Kirstin Nicole Huffman-mace | Physician Assistant | 1155 35th Ln Ste 100, Vero Beach, FL 32960-6522 | 2010-07-30 |
| 1053436139 | Laura Leigh Walsh | Physician Assistant | 1880 37th St, Suite 4, Vero Beach, FL 32960-6591 | 2007-03-20 |
| 1316930886 | Stacy P Smith | Physician Assistant | 1040 37th Pl Ste 201, Vero Beach, FL 32960 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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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.