Individual provider Active NPI

Rachel Louise Reagan, RN, BSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1801420021
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95038708 Issued in CA
Practice address
222 E Tamarack Ave Apt 24
Inglewood, CA 90301-6644
Phone
(323) 872-9686
NPI assigned
Feb 26, 2020
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95038708 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN95146060 CA

Addresses

Primary practice location

222 E Tamarack Ave Apt 24
Inglewood, CA 90301-6644

Mailing address

222 E Tamarack Ave Apt 24
Inglewood, CA 90301-6644

Other practice location 1

8607 Venice Blvd
Los Angeles, CA 90034-2518
Phone (310) 253-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN95146060CAMDPsychiatric/Mental Health Registered Nurse
95038708CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Recovery, Inc. CurrentSince Feb 11, 2024 Accepting new patients

Locations

9808 Venice Blvd
Ste 700
Culver City, CA 90232
Phone (310) 253-9494

265 S Anita Dr
Ste 201
Orange, CA 92868
Phone (714) 410-3500

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1801420021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E TAMARACK AVE APT 24",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903016644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E TAMARACK AVE APT 24",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903016644",
            "telephone_number": "323-872-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8607 Venice Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900342518",
            "country_code": "US",
            "telephone_number": "310-253-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "RACHEL",
        "middle_name": "LOUISE",
        "credential": "RN, BSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038708",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN95146060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.