Active NPI
Lisa Cox Reardon, M.ED
- Nursing Home Administrator
- Oak Grove, LA
National Provider Identifier
1407890130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 1183
- Practice address
- 307 North Castleman Street
Oak Grove, LA 71263-0788 - Phone
- (318) 428-3249
- Fax
- (318) 428-7547
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 1183 | LA | Primary |
Addresses
Primary practice location
307 North Castleman Street
Oak Grove, LA 71263-0788
Mailing address
PO Box 761
1627 Skinner Lane
Oak Grove, LA 71263-0761
Phone (318) 428-3249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511595 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1183 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407890130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 761",
"address_2": "1627 SKINNER LANE",
"city": "OAK GROVE",
"state": "LA",
"postal_code": "712630761",
"telephone_number": "318-428-3249",
"fax_number": "318-428-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 NORTH CASTLEMAN STREET",
"city": "OAK GROVE",
"state": "LA",
"postal_code": "712630788",
"telephone_number": "318-428-3249",
"fax_number": "318-428-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARDON",
"first_name": "LISA",
"middle_name": "COX",
"name_prefix": "Ms.",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "LA",
"license": "1183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511595",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Grove, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.