MS. KATHLEEN C. REGAN (NPI# 1639117989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639117989 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN C. REGAN |
| Credential | NP |
| Practice Address |
1100 S Eliseo Dr Suite 3 Greenbrae CA 94904-2017 |
| Practice Telephone | 4159256900 |
| Mailing Telephone | 4159256900 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP11399 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619252368 | Kathleen Marie Regan | Social Worker | 13 Bunker Hill Rd, New Boston, NH 03070-4806 | 2011-10-13 |
| 1437306529 | Kathleen T Regan | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1306014717 | Kathleen Regan | Massage Therapist | 160 North St, Buffalo, NY 14201-1525 | 2008-02-19 |
| 1568503225 | Kathleen Claire Regan | Case Manager/Care Coordinator | 38251 S Groesbeck Hwy, Clinton Township, MI 48036-1929 | 2007-02-08 |
| 1255427977 | Kathleen Susan Regan | Social Worker | 62 Portland Rd, Post Road Center Suite #6, Kennebunk, ME 04043-6658 | 2006-10-04 |
| 1225056427 | Kathleen Regan | Psychiatry & Neurology | 4201 Campus Ridge Dr Ste 3950, Midland, MI 48640-6131 | 2006-07-17 |
| 1447226121 | Kathleen Regan | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2006-02-23 |
| Street Address |
1100 S ELISEO DR SUITE 3 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718056 | Marin Endoscopy Center, LLC | Clinic/Center | 1100 S Eliseo Dr, Suite 3, Greenbrae, CA 94904-2017 | 2005-08-25 |
| 1154830180 | Mfc Surgery Center | Obstetrics & Gynecology | 1100 S Eliseo Dr, Ste 107, Greenbrae, CA 94904 | 2017-09-21 |
| 1588106579 | Jessica Hovatter | Nurse Practitioner | 1100 S Eliseo Dr, Suite 1, Greenbrae, CA 94904-2017 | 2016-11-08 |
| 1942685102 | Peter S Uzelac Md, Inc | Obstetrics & Gynecology | 1100 S Eliseo Dr, Suite 107, Greenbrae, CA 94904-2017 | 2015-07-29 |
| 1881018828 | Audiology Services of Marin, Inc. | Hearing Aid Equipment | 1100 S Eliseo Dr, 108, Greenbrae, CA 94904-2017 | 2014-02-11 |
| 1770913741 | Marin Healthcare District | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-12 |
| 1891124632 | Marin Healthcare District | Surgery | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-02 |
| 1043588767 | Peter Uzelac Md, Inc | Specialist | 1100 S Eliseo Dr, Suite 107, Greenbrae, CA 94904-2017 | 2011-12-08 |
| 1861649188 | Francis William Parnell | Otolaryngology | 1100 S Eliseo Dr, Suite2, Greenbrae, CA 94904-2017 | 2008-08-19 |
| 1508055138 | Rina S Marfatia | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512094 | Jenny Mendez Butler | Nurse Practitioner | 1350 S Eliseo Dr Ste 130, Greenbrae, CA 94904-2011 | 2019-01-28 |
| 1407192438 | Amy Jeanne Holm | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2012-12-19 |
| 1073651154 | Jesse Woisard Wennik | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2007-02-02 |
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|---|---|---|---|---|
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| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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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.