Jacquelyn Reed, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000164555 Issued in MO

Practice address

2601 Sutton Blvd
Saint Louis, MO 63143-2117

Phone

(314) 781-9400

Fax

(314) 781-9880

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689898959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SUTTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432117",
            "telephone_number": "314-781-9400",
            "fax_number": "314-781-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SUTTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432117",
            "telephone_number": "314-781-9400",
            "fax_number": "314-781-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000164555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "150938",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "29773",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice V Reed
• Carl Reed
• Charnetta Cherise Reed
• Garry Joseph Reed, PA-C
• Gary Merle Reed, LPC
• Jade Reed
• Jairea Reed
• Jami Lynne Reed, RD
• Jeffrey Thomas Reed, MD
• Jesse Reed

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

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