REAGAN GOLUCKE
NPI 1902447154
Student in an Organized Health Care Education/Training Program in El Paso, TX

Active since September 30, 2019
11413 LAKE TANA DR, EL PASO, TX 79936(915) 525-0630 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reagan Golucke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAGAN GOLUCKE (NPI 1902447154) is an individual student in an organized health care education/training program in El Paso, Texas and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1902447154
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREAGAN GOLUCKE
Location Address11413 LAKE TANA DREl Paso, TX 79936-3904
Mailing Address11413 Lake Tana DrEl Paso, TX 79936-3904 · (915) 525-0630
Sole ProprietorYes
Enumeration DateSeptember 30, 2019
NPI 1902447154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11413 LAKE TANA DR, El Paso, TX 79936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reagan Golucke's NPI number?

The NPI number for Reagan Golucke is 1902447154. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Reagan Golucke located?

Reagan Golucke practices at 11413 Lake Tana Dr, El Paso, TX 79936. The listed phone number is (915) 525-0630.

What is Reagan Golucke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Reagan Golucke was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.