Reagan R. Dunnahoo, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

96-PA02 Issued in NM

Practice address

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Phone

(706) 354-5770

Fax

(706) 354-5769

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ben Archer Health Center

  • Federally Qualified Health Center (FQHC)
  • Truth Or Consequences, NM
  • NPI 1871528505
  Medicare reassignment
• Ben Archer Health Center

  • Federally Qualified Health Center (FQHC)
  • Hatch, NM
  • NPI 1154352532
  NPD
• Ben Archer Health Center

  • Federally Qualified Health Center (FQHC)
  • Deming, NM
  • NPI 1194443135
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1568455616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5719",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306045719",
            "telephone_number": "706-354-5770",
            "fax_number": "706-354-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "706-354-5770",
            "fax_number": "706-354-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNAHOO",
        "first_name": "REAGAN",
        "middle_name": "R.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "96-PA02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H6226",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Duncan, PT, DPT
• Mariel Teresa Duncan, M.A., CCC-SLP
• Sara Duncan
• Jeannette Elena Dungan
• Patricia Maria Dunn, LPN
• Melanie Dunne, LMSW
• Patrick A Dunphy, PA
• Alyssa Renee Duran
• Anthony Duran
• Ariana Duran

• Medical Physician Assistant in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.