Active NPI
Jason Reddoch
- Registered Nurse
- Lake Charles, LA
National Provider Identifier
1114835485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN152617
- Practice address
- 4006 Woodcrest St
Lake Charles, LA 70605-2334 - Phone
- (337) 884-0244
- NPI assigned
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN152617 | LA | Primary |
Addresses
Primary practice location
4006 Woodcrest St
Lake Charles, LA 70605-2334
Mailing address
4006 Woodcrest St
Lake Charles, LA 70605-2334
Phone (337) 884-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1114835485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 WOODCREST ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052334",
"telephone_number": "337-884-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 WOODCREST ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052334",
"telephone_number": "337-884-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDOCH",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN152617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.