REGINA PURYEAR NURSE PRACTITIONER
NPI 1609508969
Nurse Practitioner - Family in Lebanon, TN

Q: What is Regina Puryear's NPI number?

The NPI number for Regina Puryear is 1609508969. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Q: What is Regina Puryear's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Regina Puryear enrolled in Medicare?

No. Regina Puryear has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Regina Puryear was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2022Opted out of Medicare · through Jun 1, 2028

228 W MAIN ST STE C, LEBANON, TN 37087(629) 226-6124(615) 235-0554 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 8, 2024, Sep 21, 2024, Aug 7, 2024 (3 updates tracked since 2024).

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About Regina Puryear Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINA PURYEAR NURSE PRACTITIONER (NPI 1609508969) is an individual family provider in Lebanon, Tennessee, licensed in Tennessee (APN0000030718) and active in the NPI registry since June 2022. She has opted out of Medicare through June 1, 2028 and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1609508969

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameREGINA PURYEARCredential: NURSE PRACTITIONER

Location Address228 W MAIN ST STE CLebanon, TN 37087-2681

Mailing Address228 W Main St Ste CLebanon, TN 37087-2681 · (629) 226-6124 · Fax (615) 235-0554

Phone(629) 226-6124

Fax(615) 235-0554

Sole ProprietorNo

Enumeration DateJune 27, 2022

Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1609508969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · APN0000030718✔ Licensed in GA · GAA-NP002480✔ Licensed in FL · TPAN2549✔ Licensed in NM · 80478✔ Licensed in AZ · TELE316043

228 W MAIN ST STE C, Lebanon, TN 37087

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Secondary Practice Locations 4

Location 14254 W Orchid LnChandler, AZ 85226-7246 · Phone (888) 731-8994

Location 2100 Sun Ave NE Ste 650Albuquerque, NM 87109-4670 · Phone (888) 731-8994

Location 3111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994

Location 4900 Old Roswell Lakes Pkwy Ste 310Roswell, GA 30076-8667 · Phone (888) 731-8994

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Regina Puryear Nurse Practitioner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026

Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regina Puryear's NPI number?

The NPI number for Regina Puryear is 1609508969. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Regina Puryear located?

Regina Puryear practices at 228 W Main St Ste C, Lebanon, TN 37087. The listed phone number is (629) 226-6124.

What is Regina Puryear's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Regina Puryear enrolled in Medicare?

No. Regina Puryear has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Regina Puryear was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.