Healthcare Provider Details

I. General information

NPI: 1295938934
Provider Name (Legal Business Name): JOSEPH ADAM REIGHARD FNP-C, PMHNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3322 S CAMPBELL AVE STE T-1
SPRINGFIELD MO
65807-4980
US

IV. Provider business mailing address

2135 E INDEPENDENCE ST PMB 1093
SPRINGFIELD MO
65804-3749
US

V. Phone/Fax

Practice location:
  • Phone: 417-220-4482
  • Fax: 417-414-0017
Mailing address:
  • Phone: 417-830-9266
  • Fax: 417-900-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2016002363
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023020987
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019003456
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: