Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Reagor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164058772

Jason Reagor is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 603-0999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164058772
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2020
Last updated in NPPESMarch 14, 2020
Certification dateMarch 14, 2020

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