Lisa Reichardt, MS, APRN, CWOCN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

277.000713 Issued in IL

Practice address

15915 S Crystal Creek Dr Ste 8
Homer Glen, IL 60491-9284

Phone

(708) 400-8063

NPI assigned

May 9, 2007

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1982818084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S PARK RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252128",
            "telephone_number": "708-579-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15915 S CRYSTAL CREEK DR STE 8",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919284",
            "telephone_number": "708-400-8063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Hines",
            "state": "IL",
            "postal_code": "601413030",
            "country_code": "US",
            "telephone_number": "708-202-8387 x21466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604771649",
            "country_code": "US",
            "telephone_number": "708-400-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHARDT",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "MS, APRN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209-005646",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "277.000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS FPA APRN LICENSE",
            "identifier": "277.000713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Lee Poremba, PT
• Rebecca Pulak
• Janis Quinn, LPC
• Zain Razvi
• Reding Optics, Inc (Homer Township Vision Center)
• Kendall Reiniche
• Remedies Express Care
• Remedies Medical Care LLC
• Remedies Pediatric Care
• Kathleen S. Renfree, MA, LCPC

• Clinical Nurse Specialist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.