Provider Demographics
NPI:1144198318
Name:WRIGHT, REGINA MICHELLE
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:MICHELLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 JAY ST NE APT 32
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4889
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4919 JAY ST NE APT 32
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4889
Practice Address - Country:US
Practice Address - Phone:202-751-1987
Practice Address - Fax:202-751-1987
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-12-03
Deactivation Date:2025-11-12
Deactivation Code:
Reactivation Date:2025-12-03
Provider Licenses
StateLicense IDTaxonomies
DC376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide