MRS. JENNIFER LEIGH REARDON (NPI# 1902405582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902405582 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEIGH REARDON |
| Practice Address |
33785 Se Davona Dr Scappoose OR 97056-4513 |
| Practice Telephone | 5033076834 |
| Mailing Telephone | 5033076834 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
60699055 | WA | Nursing Service Providers |
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
200441874 | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239961 | Jennifer Dorothy Reardon | Dietitian, Registered | 47a Batavia City Ctr, Batavia, NY 14020-2107 | 2012-02-01 |
| 1538210315 | Jennifer Rion Reardon | Specialist | 5003 240th Pl Sw, Mountlake Terrace, WA 98043-5628 | 2007-01-16 |
| 1679506455 | Jennifer L Reardon | Nurse Practitioner | 160 North Midland Ave, Weill Cornell Multiple Sclerosis Center At Nyack Hospit, Nyack, NY 10960 | 2006-07-08 |
| 1821612342 | Jennifer Anne Reardon | Behavior Technician | 3229 S Cherokee Ln, Woodstock, GA 30188-4461 | 2020-06-01 |
| 1346380276 | Jennifer Theo Reardon | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2007-02-08 |
| Street Address |
33785 SE DAVONA DR |
| City | SCAPPOOSE |
| State | OR |
| Zip Code | 97056-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177964 | Gregory Randolph | Physician Assistant | 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 | 2018-06-12 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1720326143 | Mark Liu | Pharmacist | 51501 S. Columbia River Hwy, Scappoose, OR 97056 | 2013-01-18 |
| 1114291622 | Oregon Aero, Inc. | Durable Medical Equipment & Medical Supplies | 34020 Skyway Dr., Scappoose, OR 97056 | 2012-03-01 |
| 1619140506 | Scappoose Chiropractic Clinic PC | Clinic/Center | 52481 Sw 1st Street, Scappoose, OR 97056 | 2008-04-11 |
| 1992903454 | Family Vision of Oregon PC | Optometrist | 51675 N Columbia River Hwy, Scappoose, OR 97056 | 2007-07-06 |
| 1265649586 | Hopkins Chiropractic Clinic | Chiropractor | 51669 S. Columbia River Hwy., Suite 130, Scappoose, OR 97056 | 2007-05-17 |
| 1811062706 | Mary Davey Dower | Counselor | 51891 Old Portland Rd, Suite B, Scappoose, OR 97056 | 2006-11-24 |
| 1740378223 | Kendall Rae Liday | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| 1265533608 | Stephen Frederick Taylor | Dentist | 33454 Havlik Road, Scappoose, OR 97056 | 2006-09-26 |
| Find all providers in zip 97056 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677911 | Brittni L Mortensen | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-07-30 |
| 1295371201 | Christa Barth | Registered Nurse | 3160 Agate St, Eugene, OR 97405-4302 | 2019-11-25 |
| 1477017309 | Lynne Kyoung Kim-yang | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-01-24 |
| 1487131611 | Joy Carvell | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2018-07-20 |
| 1235393521 | Jamie Lee Wegner | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-07-15 |
Please comment or provide details below to improve the information on MRS. JENNIFER LEIGH REARDON.
| 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.