Active NPI
Reagan Lynn Kinnear, PH.D.
- Psychologist
- Willow Park, TX
National Provider Identifier
1114160397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 37167
- Practice address
- 134 El Chico TRL Ste 105
Willow Park, TX 76087-8862 - Phone
- (682) 333-1533
- NPI assigned
- Apr 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 37167 | TX | Primary |
Addresses
Primary practice location
134 El Chico TRL Ste 105
Willow Park, TX 76087-8862
Mailing address
134 El Chico TRL Ste 105
Willow Park, TX 76087-8862
Phone (682) 333-1533
Other names 1
- Reagan Lynn Rinderknecht
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37167 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1114160397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 EL CHICO TRL STE 105",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760878862",
"telephone_number": "682-333-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EL CHICO TRL STE 105",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760878862",
"telephone_number": "682-333-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEAR",
"first_name": "REAGAN",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REAGAN",
"last_name": "RINDERKNECHT",
"middle_name": "LYNN",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Willow Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.