Active NPI
Megan Brooke Reando, FNP-C
- Family Nurse Practitioner
- De Soto, MO
National Provider Identifier
1326758343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2022031215
- Practice address
- 12 Jefferson SQ
De Soto, MO 63020-1031 - Phone
- (636) 586-6685
- Fax
- (636) 586-2780
- NPI assigned
- Nov 30, 2022
- Last updated
- Nov 30, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2022031215 | MO | Primary |
Addresses
Primary practice location
12 Jefferson SQ
De Soto, MO 63020-1031
Mailing address
12 Jefferson SQ
De Soto, MO 63020-1031
Phone (636) 586-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truhealth, LLC | Current | Accepting new patients | |
| Steven Crawford | Past | Accepting new patients |
Locations
1550 Villa Dr
De Soto, MO 63020
Phone (636) 586-6559
904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485
1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356
Organizations & group practices 3
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.
-
- Family Medicine Physician
- De Soto, MO
- NPI 1548266737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1326758343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 JEFFERSON SQ",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630201031",
"telephone_number": "636-586-6685",
"fax_number": "636-586-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 JEFFERSON SQ",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630201031",
"telephone_number": "636-586-6685",
"fax_number": "636-586-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REANDO",
"first_name": "MEGAN",
"middle_name": "BROOKE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2022031215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Soto, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.