Alexis Calliope Nicole Reddig

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2019012780 Issued in MO

Practice address

600 E 5TH St
Fulton, MO 65251-1753

Phone

(573) 592-2605

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Missouri

  • Psychiatry Physician
  • Fulton, MO
  • NPI 1164477873
  Medicare reassignment NPD
• State of Missouri

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1386198448
  NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1982240438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 5TH ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511753",
            "telephone_number": "573-592-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 5TH ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511753",
            "telephone_number": "573-592-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDIG",
        "first_name": "ALEXIS",
        "middle_name": "CALLIOPE NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2019012780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Antoinette Purvis
• Quality Clinical Laboratories LLC
• Rameshlal M Rawlani, MD
• Re-Entry Transitions Counseling, L.L.C.
• Rebecca Seitz LCSW, LLC
• Refound Psychiatry Services LLC
• Rescare of Missouri, Inc.
• Jonathan F. Rhodes, PSY.D.
• Sharon Robbins, PH.D.
• Dana L Robertson, D.C., F.A.S.A.

• Counseling Psychologist in Fulton, MO
• Providers in Fulton, MO by specialty
• Counseling Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.