Provider Demographics
NPI:1922982065
Name:STEWART HUNT, REGINA
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:STEWART HUNT
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 1:1530 WILSON BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2466
Mailing Address - Country:US
Mailing Address - Phone:703-627-5443
Mailing Address - Fax:
Practice Address - Street 1:1400 INDEPENDENCE AVE SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20250-0002
Practice Address - Country:US
Practice Address - Phone:202-720-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194125363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health