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

Raegan Lauderdale

Individual provider Registered Nurse · NPI 1629693189

Raegan Lauderdale is a Certified Registered Nurse Anesthetist (CRNA) in Houston, Texas. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Arkansas and Texas.

Years since qualifying
1
Licensed in
AR, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2908 Rusk St
Houston, TX 77003-2901
Phone: (210) 219-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W Markham St # 515, Little Rock, AR 72205-7101 — (501) 686-8000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 231973 (AR)
Registered Nurse Taxonomy 163W00000X · Licence 957958 (TX)

Record details

NPI number1629693189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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