DR. LESLIE ANNE REID (NPI# 1508991084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508991084 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ANNE REID |
| Credential | D.C. |
| Practice Address |
16075 Manchester Rd Ellisville MO 63011-2103 |
| Practice Telephone | 6362560880 |
| Practice Fax Number | 6362569153 |
| Mailing Telephone | 6362560880 |
| Mailing Fax Number | 6362569153 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2001025911 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RR PROV # | P00338527 | 01 |
| MO | HEALTHLINK PROV # | 465372 | 01 |
| MO | UHC PROVIDER # | 653079 | 01 |
| MO | FEDERAL TAX ID # | 200557644 | 01 |
| MO | BLUE CROSS PROV # | 149546 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275933632 | Leslie Reid | Speech-Language Pathologist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-09-03 |
| 1821389891 | Leslie Morgan Reid | Audiologist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2011-04-26 |
| 1770816522 | Leslie B Reid | Dentist | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2009-09-11 |
| Street Address |
16075 MANCHESTER RD |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104127844 | Ellisville Rehab Center, Inc | Exclusive Provider Organization | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2010-11-11 |
| 1043439029 | Benjamin Jason Barton | Physical Therapist | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2007-04-25 |
| 1962525162 | Ellisville Chiropractic, Injury and Pain Clinic,llc | Chiropractor | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005454 | Lynne Gibbs | Chiropractor | 177 Clarkson Executive Park, Ellisville, MO 63011-2176 | 2015-10-14 |
| 1649614454 | Dustin C Hargadine | Chiropractor | 249 Clarkson Rd Ste 101, Ellisville, MO 63011-2497 | 2013-04-23 |
| 1790018836 | Daniel Michael Fazio | Chiropractor | 179 Clarkson Executive Park, Ellisville, MO 63011-2176 | 2009-09-08 |
| 1407007651 | James Austin Mcdaniel IIi | Chiropractor | 170 Clarkson Executive Park, Ellisville, MO 63011-2114 | 2008-10-07 |
| 1003097452 | Copeland Chiropractic PC | Chiropractor | 113 Old State Rd Ste 202, Ellisville, MO 63021-2042 | 2007-11-14 |
| 1790973535 | Melissa Sheahan | Chiropractor | 16021 Manchester Road, Ellisville, MO 63011 | 2007-10-05 |
| 1619028792 | Melissa Rose Banyai | Chiropractor | 281 Clarkson Rd, Suite 101, Ellisville, MO 63011-2281 | 2007-01-15 |
| 1477667780 | Laurie Burke | Chiropractor | 242 Clarkson Rd, Ellisville, MO 63011-2245 | 2006-08-17 |
| 1689600157 | John C Smith Jr Inc | Chiropractor | 249 Clarkson Rd, #101, Ellisville, MO 63011-2219 | 2006-06-24 |
| 1508496480 | Alexandra Johler | Chiropractor | 355 Ozark Trail Dr Ste 9, Ellisville, MO 63011-2164 | 2020-01-20 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
Please comment or provide details below to improve the information on DR. LESLIE ANNE REID.
| 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.