Jill R. Reavis, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2002030343 Issued in MO

Practice address

1342 E Primrose St
Suite a
Springfield, MO 65804-4279

Phone

(417) 877-1300

Fax

(471) 877-1335

NPI assigned

Jul 23, 2007

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)

Enrolled

Practice roles

Locations

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.

• Wellness Concepts Clinic

  • Chiropractor
  • Springfield, MO
  • NPI 1073805776
  NPD
• Wellness Concepts Clinic LLC

  • Sports Physician Chiropractor
  • Springfield, MO
  • NPI 1275771669

  Acupuncturist

  NPD

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1356541817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 E PRIMROSE ST",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044279",
            "telephone_number": "417-877-1300",
            "fax_number": "471-877-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 E PRIMROSE ST",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044279",
            "telephone_number": "417-877-1300",
            "fax_number": "471-877-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "JILL",
        "middle_name": "R.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2002030343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rd2Go, LLC
• Tanya Rea Johnson, MS, LPC
• Claire Elizabeth Reagen, DO
• Vicki W Reaves, LCSW
• Eric Wayne Reavis, D.C.
• Tania Evon Reavis, D.C.
• Craig Allen Rechkemmer, DDS
• Recovery Chapel
• Recovery Chapel
• Recovery Outreach Services LLC

• Acupuncturist in Springfield, MO
• Providers in Springfield, MO by specialty
• Acupuncturist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.