Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kellie Marie Reardon, FNP

Nurse Practitioner in San Marcos, TX · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487645404

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Registry record

Entity type Individual (Type 1)

Name Kellie Marie Reardon

Credential FNP

Sex Female

Practice address 1301 Wonder World Dr, San Marcos, TX, 78666

Phone (512) 753-3796

Enumeration date Oct 31, 2005

Last updated in NPPES Jan 14, 2014

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 516912 (TX) Primary

FNP · Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential

Other identifiers

Identifier	Type	State	Issuer
142619904	Medicaid	TX	-
89N666	Other	TX	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Kellie Reardon?

Kellie Reardon is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-14.