Angela Lynn Reynolds, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

153633 Issued in MO

Practice address

6830 Anderson St
Shawnee, KS 66226-3101

Phone

(816) 922-2750

NPI assigned

Dec 5, 2005

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Angela Keller Former name

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1396729133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 ANDERSON ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263101",
            "telephone_number": "168-922-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 ANDERSON ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263101",
            "telephone_number": "816-922-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pope Ave",
            "address_2": "Munson Army Health",
            "address_purpose": "LOCATION",
            "city": "Fort Leavenworth",
            "state": "KS",
            "postal_code": "660272332",
            "country_code": "US",
            "telephone_number": "913-684-6661 x6244",
            "fax_number": "913-684-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MO",
            "license": "153633",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "KS",
            "license": "14-147910-062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "153633",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lana N Renk, PA-C
• Michael William Repp, DC
• Residential Solutions, LLC
• Resolute Dermatology
• Kimberly Reyes, COTA/L
• Laurel Espinosa Reynolds, ARNP
• Brooks J. Rice, D.C.
• Emily Rice
• Luke Richards
• Marilyn R Richardson, GYN

• Ambulatory Care Registered Nurse in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Ambulatory Care Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.