Individual provider Active NPI

Gina Reeves, RD, LD

  • Registered Dietitian
  • Liberty, MO
National Provider Identifier
1427742667
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2021049802 Issued in MO
Practice address
2551 Norterre Cir
Liberty, MO 64068-3412
Phone
(816) 463-8930
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2021049802 MO Primary

Addresses

Primary practice location

2551 Norterre Cir
Liberty, MO 64068-3412

Mailing address

4322 Rockhill Rd Apt 1
Kansas City, MO 64110-1514
Phone (816) 813-7225

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

LicenseStateTypeSpecialty
2021049802MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wellway Medical PA CurrentSince Jul 9, 2023 Accepting new patients
Wellway Chiropractic P.C. CurrentSince Jun 11, 2023 Accepting new patients

Locations

2551 Norterre Cir
Liberty, MO 64068
Phone (612) 367-4824

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1427742667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 ROCKHILL RD APT 1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101514",
            "telephone_number": "816-813-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 NORTERRE CIR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683412",
            "telephone_number": "816-463-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "GINA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2021049802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.