Daniel Grant Reavis

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2016027488 Issued in MO

Practice address

5841 Suburban Ter
Joplin, MO 64804-6017

Phone

(417) 229-7261

NPI assigned

Jul 4, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wound Care at Home, LLC

  • Home Health Agency
  • Joplin, MO
  • NPI 1013807759
  NPD Authorized official

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1104716844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 SUBURBAN TER",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648046017",
            "telephone_number": "417-229-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 SUBURBAN TER",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648046017",
            "telephone_number": "417-229-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "DANIEL",
        "middle_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "2016027488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Raymond
• Rcal Management LLC
• Rcal Management LLC
• Rcal Transport LLC.
• John Robert Reagen, DO
• David Reavis
• Roxanne Carandang Recede
• Matthew Ty Reddick, DO
• Ambica Reddy, DMD
• Redings Mill Internal Care

• Home Health Registered Nurse in Joplin, MO
• Providers in Joplin, MO by specialty
• Home Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.