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

Individual provider Registered Nurse · NPI 1154679462

Tanisha Renee Ragland, RN is a Nurse Practitioner in San Pedro, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
6
Licensed in
CA, NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2830 S Kerckhoff Ave
San Pedro, CA 90731-6626
Phone: (585) 721-5686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95017916 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 655565 (NY)

Record details

NPI number1154679462
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 16, 2012
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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