Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna Regis

Individual provider Family Nurse Practitioner · NPI 1720795495

Joanna Regis is a Nurse Practitioner in Brockton, Massachusetts. Qualified in 2022, 4 years ago. Licensed in Kentucky and Massachusetts.

Years since qualifying
4
Licensed in
KY, MA
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

107 Highland St
Brockton, MA 02301-3721
Phone: (774) 386-6700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2318791 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4054891 (KY)

Record details

NPI number1720795495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address107 Highland St, Brockton, MA 02301-3721

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Brockton