Individual provider Active NPI

Reagen M Loughran, ARNP

  • Primary Care Nurse Practitioner
  • London, KY
National Provider Identifier
1821277518
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3005415 Issued in KY
Practice address
1120 Reuben St
London, KY 40741-1074
Phone
(606) 862-7000
Fax
(606) 864-1207
NPI assigned
Oct 30, 2007
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3005415 KY Primary

Addresses

Primary practice location

1120 Reuben St
London, KY 40741-1074

Mailing address

1120 Reuben St
London, KY 40741-1074
Phone (606) 862-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20080306000030 KY Practitioner - Nurse Practitioner 1759466410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practitioner Services PLLCGroup PAC ID 6305150954, 7 clinicians

Practice addresses (Care Compare)

1102 S Main St
London, KY 40741-1529
Phone (606) 770-6121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3005415KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practitioner Services PLLC Primary Care CurrentSince Jun 11, 2012 Accepting new patients
Practitioner Services PLLC CurrentSince May 1, 2015 Accepting new patients
Physicians Express Care Billing Past Accepting new patients

Locations

1102 S Main St
London, KY 40741
Phone (606) 770-5121

94 Dogpatch Trading Ctr
#2
London, KY 40741
Phone (606) 770-5121

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tru HealthcareLondon, KY, CCN B03893 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Operational/Managerial Control
Jun 11, 2012
Jun 11, 2012
Jun 11, 2012
Tru HealthcareLondon, KY, CCN B08920 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 11, 2012
Jun 11, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1821277518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 REUBEN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411074",
            "telephone_number": "606-862-7000",
            "fax_number": "606-864-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 REUBEN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411074",
            "telephone_number": "606-862-7000",
            "fax_number": "606-864-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHRAN",
        "first_name": "REAGEN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3005415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.