Individual provider Active NPI

Leann Michelle McReynolds, MSN, RN, CCNS-BC

  • Critical Care Medicine Clinical Nurse Specialist
  • San Antonio, TX
National Provider Identifier
1093953358
Registry record updated Jan 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
670554 Issued in TX
Practice address
4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Phone
(210) 692-9400
Fax
(210) 692-0971
NPI assigned
Jan 25, 2009
Last updated
Jan 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 670554 TX Primary

Addresses

Primary practice location

4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306

Mailing address

PO Box 264
210 W Meyer
Falls City, TX 78113-0264
Phone (830) 254-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922001006 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 1850417247 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
670554TXMDCritical Care Medicine Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles J. Burch, M.D., P.a. CurrentSince Aug 18, 2010 Accepting new patients
Texas Ips LLC CurrentSince Jul 9, 2011 Accepting new patients
Arturo Lopez, M.D., PA CurrentSince Aug 18, 2010 Accepting new patients

Locations

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

4410 Medical Dr
Ste 440
San Antonio, TX 78229
Phone (210) 692-9400

4458 Medical Dr
Ste 505
San Antonio, TX 78229

4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181

4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232841600000",
    "number": "1093953358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "address_2": "210 W MEYER",
            "city": "FALLS CITY",
            "state": "TX",
            "postal_code": "781130264",
            "telephone_number": "830-254-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-692-9400",
            "fax_number": "210-692-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "LEANN",
        "middle_name": "MICHELLE",
        "credential": "MSN, RN, CCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "TX",
            "license": "670554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.