Active NPI
Gabriella Marie Reagan, FNP
- Family Nurse Practitioner
- Wake Forest, NC
National Provider Identifier
1942111521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5025389
- Practice address
- 11635 Northpark Dr Ste 200
Wake Forest, NC 27587-9350 - Phone
- (919) 570-6060
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5025389 | NC | Primary |
Addresses
Primary practice location
11635 Northpark Dr Ste 200
Wake Forest, NC 27587-9350
Mailing address
11635 Northpark Dr Ste 200
Wake Forest, NC 27587-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1942111521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11635 NORTHPARK DR STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275879350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 NORTHPARK DR STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275879350",
"telephone_number": "919-570-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAGAN",
"first_name": "GABRIELLA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5025389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.