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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376G00000X | Nursing Home Administrator | 1183 | LA | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1511595 | 05 |
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 |
Street Address |
307 NORTH CASTLEMAN STREET |
City | OAK GROVE |
State | LA |
Zip Code | 71263-0788 |
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 Code | 376G00000X |
Grouping | Nursing Service Related Providers |
Classification | Nursing Home Administrator |
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. |
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 |
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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.