TANISHA RENEE RAGLAND R.N. NPI 1154679462

NPI Information

  • NPI: 1154679462
  • Provider Name: TANISHA RENEE RAGLAND, R.N.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2830 S KERCKHOFF AVE
    SAN PEDRO, CA
    ZIP 90731
  • Phone: (585) 721-5686

Map and Directions

Get Directions

NPI Details

Tanisha Renee Ragland, R.N. is a psychiatric/mental health nurse practitioner in San Pedro, CA with 6 years of experience. Tanisha Renee Ragland, R.N. NPI is 1154679462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2830 S KERCKHOFF AVE
SAN PEDRO, CA
ZIP 90731-626
Phone: (585) 721-5686

The NPI 1154679462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse655565NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95017916CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI