Healthcare Provider Details

I. General information

NPI: 1891620068
Provider Name (Legal Business Name): MAEGAN RICHELLE REID PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3738 OSAGE BEACH PKWY STE 201
OSAGE BEACH MO
65065-2138
US

IV. Provider business mailing address

10987 HIGHWAY KK
CROCKER MO
65452-7329
US

V. Phone/Fax

Practice location:
  • Phone: 573-466-2319
  • Fax:
Mailing address:
  • Phone: 573-466-2319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026028097
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: