MS. LISA COX REARDON M.ED NPI 1407890130

NPI Information

NPI: 1407890130
Provider Name: MS. LISA COX REARDON, M.ED
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Individual
Address: 307 NORTH CASTLEMAN STREET
OAK GROVE, LA
ZIP 71263
Phone: (318) 428-3249

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NPI Details

MS. Lisa Cox Reardon, M.ED is a nursing home administrator in Oak Grove, LA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. MS. Lisa Cox Reardon, M.ED NPI is 1407890130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

307 NORTH CASTLEMAN STREET
OAK GROVE, LA
ZIP 71263-788
Phone: (318) 428-3249
Fax: (318) 428-7547

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376G00000X	Nursing Home Administrator		1183	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1511595	MEDICAID	LOUISIANA
2	195423	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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