MR. STEVEN EDWIN REENAN (NPI# 1922052091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922052091 |
| Entity Type | Individual |
| Full Name | MR. STEVEN EDWIN REENAN |
| Credential | LPC |
| Practice Address |
986 Highway A Iberia MO 65486-8242 |
| Practice Telephone | 5737932162 |
| Practice Fax Number | 5737932162 |
| Mailing Telephone | 5737932162 |
| Mailing Fax Number | 5737932162 |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2012-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
CS 001374 | MO | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2012004610 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
986 HIGHWAY A |
| City | IBERIA |
| State | MO |
| Zip Code | 65486-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467571968 | Carl Sylvester Roberts Jr. | Family Medicine | 101e Main St, Iberia, MO 65486 | 2007-03-28 |
| 1104853050 | Margaret C Hart | Nurse Practitioner | 2333 Highway 17, Iberia, MO 65486 | 2006-06-27 |
| 1093058034 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2322 Hwy 17, Iberia, MO 65486-0000 | 2013-03-28 |
| 1750402194 | Iberia R-v School District | Local Education Agency (LEA) | 201 Pemberton Dr, Iberia, MO 65486-0156 | 2007-04-03 |
| 1245660182 | Kyle Nichols | Pharmacist | 2322 Highway 17, Iberia, MO 65486-9115 | 2013-11-13 |
| 1700332020 | Brian Herzog | Music Therapist | 451 Tavern Creek Rd, Iberia, MO 65486-9193 | 2016-08-28 |
| 1952300923 | Clemens E. Haggerty | General Practice | 2333 Highway 17, Iberia, MO 65486-9331 | 2005-07-20 |
| 1841749660 | Chelsie Deardeuff | Nurse Practitioner | 2333 Highway 17, Iberia, MO 65486-9331 | 2016-09-22 |
| 1891018784 | Lake Regional Health System | Clinic/Center | 2333 Highway 17, Iberia, MO 65486-9331 | 2010-03-05 |
| 1164515029 | Gary N Thomsen | Family Medicine | 2333 Highway 17, Iberia, MO 65486-9331 | 2006-10-02 |
| Find all providers in zip 65486 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.