Individual provider Active NPI

Reagan G Bernskoetter

  • Speech-Language Pathologist
  • Jefferson City, MO
National Provider Identifier
1891626479
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2026022135 Issued in MO
Practice address
2209 Stonehill Rd
Jefferson City, MO 65101-2110
Phone
(573) 634-3070
NPI assigned
May 25, 2026
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2026022135 MO Primary

Addresses

Primary practice location

2209 Stonehill Rd
Jefferson City, MO 65101-2110

Mailing address

11447 Lookout TRL
Centertown, MO 65023-1031

Other practice location 1

2211 Stonehill Rd
Jefferson City, MO 65101-2110
Phone (573) 634-3070

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
2026022135MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Area Council for Special Services Past Accepting new patients
Capital City Area Council for Special Services Speech-Language Pathologist PastSince Nov 9, 2025 Accepting new patients

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": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1891626479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11447 LOOKOUT TRL",
            "city": "CENTERTOWN",
            "state": "MO",
            "postal_code": "650231031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 STONEHILL RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012110",
            "telephone_number": "573-634-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Stonehill Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651012110",
            "country_code": "US",
            "telephone_number": "573-634-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSKOETTER",
        "first_name": "REAGAN",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2026022135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.