MS. LISA MARIE REARDON (NPI# 1700049228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700049228 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE REARDON |
| Credential | PA-C |
| Practice Address |
4008 W 27th Ave, Suite 103 Kennewick WA 99337 |
| Mailing Address |
560 Gage Blvd Suite 203 Richland WA 99352 |
| Practice Telephone | 5099422355 |
| Practice Fax Number | 5092221289 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60423341 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00739 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1700049228 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407890130 | Lisa Cox Reardon | Nursing Home Administrator | 307 North Castleman Street, Oak Grove, LA 71263-0788 | 2006-06-15 |
| 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 |
| 1457401093 | Lisa J Reardon | Physical Therapist | 400 Enterprise Drive, Suite 3, Scarborough, ME 04074 | 2007-01-12 |
| Street Address |
4008 W 27TH AVE, SUITE 103 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238044 | Sendy D Garibay-flores | Specialist/Technologist | 1609 South Garfield St, Kennewick, WA 99337 | 2020-02-27 |
| 1407386535 | Robin Roderick | Dental Hygienist | 2510 W. 35th Ave, Kennewick, WA 99337 | 2017-06-12 |
| 1134580897 | Pamela Taylor | Counselor | 241907 E State Route 397, Kennewick, WA 99337 | 2016-03-09 |
| 1093119232 | Angela Combs | Nurse Practitioner | 3801 Zintel Way, Suite 120, Kennewick, WA 99337 | 2014-10-17 |
| 1699103036 | Zachary Daniel Mcnair | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2013-10-22 |
| 1326302647 | Yvonne Teresa Sands | Nurse Practitioner | 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 2012-07-02 |
| 1144403064 | Anja Rasmussen | Physical Therapist | 3101 S. Gum St, Kennewick, WA 99337 | 2007-12-13 |
| 1558585182 | Cynthia Renee Wright | Counselor | 3801 S Zintel Way Ste 120, Kennewick, WA 99337 | 2007-04-13 |
| 1770699886 | Jeanie Edwards | Specialist | 228705 Game Farm Rd, Kennewick, WA 99337 | 2006-08-22 |
| 1033139068 | Mary Elizabeth Swihart | Nurse Practitioner | 3900 S Zintel Way Fl 2, Kennewick, WA 99337 | 2006-07-20 |
| Find all providers in zip 99337 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1861656902 | Anthony Vincent Carabba | Physician Assistant | 4303 W 27th Ave Ste D, Kennewick, WA 99338-1986 | 2008-07-17 |
| 1992970297 | William S. Waites | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2008-04-28 |
| 1609906411 | Bruce Patrick Deleonard | Physician Assistant | Kania Clinic 3000 W Kennewick Rd., Kennewick, WA 99301 | 2007-03-07 |
| 1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
| 1275022964 | James Mathew Petersen | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2018-05-08 |
| 1467972646 | Timothy Salvos | Physician Assistant | 6710 W Okanogan Pl, Kennewick, WA 99336-8001 | 2017-06-20 |
| 1346778271 | Jeremiah Hendricks Price | Physician Assistant | 2828 S Olympia St, Kennewick, WA 99337-4356 | 2017-05-23 |
| 1841735388 | Laura Cunningham | Physician Assistant | 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 | 2016-12-19 |
| 1184171290 | Pinnicale Pain Center | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2016-09-07 |
| Find all providers in KENNEWICK | ||||
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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.