Active NPI
Reagan Michelle Jennings
- Emergency Registered Nurse
- Kansas City, MO
National Provider Identifier
1376412247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 2025019364
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2640 - Phone
- (616) 404-1524
- NPI assigned
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 2025019364 | MO | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2640
Mailing address
366 SE 85TH Road
Unit a
Warrensburh, MO 64093
Phone (334) 315-8750
Other practice location 1
366 se 85th road
unit a
warrensburg, MO 64093
Phone (334) 315-8750
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025019364 | MO | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1376412247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 SE 85TH ROAD",
"address_2": "UNIT A",
"city": "WARRENSBURH",
"state": "MO",
"postal_code": "64093",
"telephone_number": "334-315-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640",
"telephone_number": "616-404-1524"
}
],
"practiceLocations": [
{
"address_1": "366 se 85th road",
"address_2": "unit a",
"address_purpose": "LOCATION",
"city": "warrensburg",
"state": "MO",
"postal_code": "64093",
"country_code": "US",
"telephone_number": "334-315-8750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNINGS",
"first_name": "REAGAN",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Emergency",
"state": "MO",
"license": "2025019364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.