Michelle Leigh Reynolds, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

117069 Issued in MO

Practice address

600 Breeze Park Dr
Weldon Spring, MO 63304-9139

Phone

(636) 270-3368

NPI assigned

Oct 11, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1205617669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PECAN BLUFFS DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854805",
            "telephone_number": "314-779-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BREEZE PARK DR",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049139",
            "telephone_number": "636-270-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "117069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Chiropractic
• Mary Jo Price, LPC
• Progressive Physical and Sports Therapy LLC
• Grant Rabus
• Jennifer M Reinsch, LPC
• Meghan Roesch
• Anna Rolwes, PT, DPT
• Victoria A Roth, M.S., CCC-SLP
• Donkenson L Rousseau, APRN
• Kristen Ruttencutter, MA,LPC

• Registered Nurse in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.