MS. LISA COX REARDON


Address: 307 North Castleman Street, Oak Grove, LA 71263-0788
Phone: 3184283249

MS. LISA COX REARDON (NPI# 1407890130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407890130
Entity Type Individual
Full Name MS. LISA COX REARDON
Credential M.ED
Practice Address 307 North Castleman Street
Oak Grove
LA 71263-0788
Mailing Address Po Box 761
1627 Skinner Lane
Oak Grove
LA 71263-0761
Practice Telephone 3184283249
Practice Fax Number 3184287547
Mailing Telephone 3184283249
Mailing Fax Number 3184287547
Enumeration Date 2006-06-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376G00000X Nursing Home Administrator 1183 LA Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1511595 05

Other Providers LISA REARDON

NPI Name Taxonomy Address Enumeration
1598765257 Lisa Joan Reardon Social Worker 1325 Quincy St Ne, Washington, DC 20017-2615 2005-07-26
1275905523 Lisa Ann Reardon Physical Therapist 70 Butler Street, Salem, NH 03079-3974 2015-10-27
1326329533 Lisa M Reardon Nurse Practitioner 1 Compass Way, Suite 109, East Bridgewater, MA 02333-1465 2011-09-01
1306085485 Lisa M Reardon Social Worker 320 Pomfret St, Putnam, CT 06260-1836 2009-02-12
1700049228 Lisa Marie Reardon Physician Assistant 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 2008-07-03
1457401093 Lisa J Reardon Physical Therapist 400 Enterprise Drive, Suite 3, Scarborough, ME 04074 2007-01-12

Office Location

Street Address 307 NORTH CASTLEMAN STREET
City OAK GROVE
State LA
Zip Code 71263-0788

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942850284 Melba West Technician Melba West, 9192 Hwy 585, Oak Grove, LA 71263 2019-09-18
1972975225 Healing Life Health Center LLC Community/Behavioral Health 602 South Constitution Avenue, Oak Grove, LA 71263 2015-10-27
1306193701 Jeremy David Rawls Chiropractor 212 N Front St, Oak Grove, LA 71263 2012-08-06
1538358569 West Carroll Arc Day Training, Developmentally Disabled Services 611 West Jefferson, Oak Grove, LA 71263 2007-10-16
1477750842 West Carroll Arc Day Training, Developmentally Disabled Services 611 West Jefferson St, Oak Grove, LA 71263 2007-06-29
1346463767 Carroll Nursing Home Durable Medical Equipment & Medical Supplies 307 N Castleman Street, Oak Grove, LA 71263 2007-04-11
1376670059 Karla Welch Robertson Dentist 414 Ross St., Oak Grove, LA 71263 2007-02-28
1669529111 Northstar,tlc Inc. Durable Medical Equipment & Medical Supplies 212 E. Jefferson, Oakgrove, LA 71263 2007-01-05
1265500490 Mark Anthony Portacci Family Medicine 706 Ross Street, Oak Grove, LA 71263 2006-12-04
1740268739 Carroll Nursing Home Nursing Facility/Intermediate Care Facility 307 N. Castleman St, Oak Grove, LA 71263 2006-01-09
Find all providers in zip 71263

Taxonomy Information

Taxonomy Code 376G00000X
Grouping Nursing Service Related Providers
Classification Nursing Home Administrator

Taxonomy Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295232072 Erin Neal Nursing Home Administrator 3618 Coliseum St, New Orleans, LA 70115-3607 2018-04-09
1598380131 Janice Leeshal Hurks Nursing Home Administrator 9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680 2020-06-09

Competitor

Search similar providers

City OAK GROVE
Zip Code 71263

Improve Information

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Dataset Information

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.

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