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MS. LISA MARIE REARDON PA-C
NPI 1700049228
Physician Assistant - Medical in Kennewick, WA

Active since July 03, 2008
4008 W 27TH AVE, SUITE 103, KENNEWICK, WA 99337(509) 942-2355(509) 222-1289 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Marie Reardon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA MARIE REARDON PA-C (NPI 1700049228) is an individual medical provider in Kennewick, Washington, licensed in Washington (PA60423341) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1700049228
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. LISA MARIE REARDONCredential: PA-C
Location Address4008 W 27TH AVE, SUITE 103Kennewick, WA 99337
Mailing Address560 Gage Blvd, Suite 203Richland, WA 99352 · (509) 942-3627 · Fax (509) 942-2268
Phone(509) 942-2355
Fax(509) 222-1289
Sole ProprietorNo
Enumeration DateJuly 3, 2008
Last NPPES UpdateNovember 17, 2016
✔ NPI 1700049228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WA · PA60423341✔ Licensed in OR · PA00739
4008 W 27TH AVE, SUITE 103, Kennewick, WA 99337
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Other Identifiers 1

Medicaid1700049228WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Reardon's NPI number?

The NPI number for Lisa Reardon is 1700049228. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Lisa Reardon located?

Lisa Reardon practices at 4008 W 27th Ave, Suite 103, Kennewick, WA 99337. The listed phone number is (509) 942-2355.

What is Lisa Reardon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Lisa Reardon accept?

Health plans from Providence Health Plan list Lisa Reardon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Reardon was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.