LARISSA DYAN KIRK (NPI# 1003318726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003318726 |
| Entity Type | Individual |
| Full Name | LARISSA DYAN KIRK |
| Practice Address |
1631 E 2nd St Austin TX 78702-4490 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124557787 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 19572 | NE | Nursing Service Providers |
| Street Address |
1631 E 2ND ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497970768 | Eileen Mary Reilly | Nurse Practitioner | 1631 E 2nd St, Austin, TX 78702-4490 | 2007-04-13 |
| 1750995569 | Tracy Alicia Needom | Licensed Vocational Nurse | 1631 E 2nd St, Austin, TX 78702-4490 | 2020-08-31 |
| 1902415870 | Carly Decker | Registered Nurse | 1631 E 2nd St, Austin, TX 78702-4490 | 2020-07-27 |
| 1740807395 | Silanise Sharda Bishop-moten | Licensed Vocational Nurse | 1631 E 2nd St, Austin, TX 78702-4490 | 2020-06-30 |
| 1306465752 | Tess Emily Rose | Social Worker | 1631 E 2nd St, Austin, TX 78702-4490 | 2020-04-15 |
| 1043842891 | Ashlee Ann Matthews | Registered Nurse | 1631 E 2nd St, Austin, TX 78702-4490 | 2020-02-10 |
| 1881224814 | Amanda Mcdonald | Nurse Practitioner | 1631 E 2nd St, Austin, TX 78702-4490 | 2020-01-17 |
| 1366083487 | Frances Jasmin Ibarra | Social Worker | 1631 E 2nd St, Austin, TX 78702-4490 | 2019-09-30 |
| 1437621059 | Central Texas Community Health Centers | Clinic/Center | 1631 E 2nd St, Austin, TX 78702-4490 | 2018-12-20 |
| 1629544416 | Rawand Abdelghani | Social Worker | 1631 E 2nd St, Austin, TX 78702-4490 | 2018-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
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| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1164965968 | Juan Alberto Bastida | Licensed Practical Nurse | 1434 Sir Thopas Trl, Austin, TX 78748-3741 | 2016-11-28 |
| 1194139311 | Sheila Higgins | Licensed Practical Nurse | 5400 Freidrich Ln Trlr 31, Austin, TX 78744-2729 | 2014-06-16 |
| 1396187076 | Nicholas Crawford | Licensed Practical Nurse | 825 E. Rundberg Lane #f, Austin, TX 78753 | 2013-07-23 |
| 1598006314 | Dee Estabrook | Licensed Practical Nurse | 751 Highway 321 N, Austin, AR 72007 | 2013-03-04 |
| 1730489600 | Aurea Luisa Negron | Licensed Practical Nurse | 14200 Sarah Ann Dr, Austin, TX 78725-4006 | 2010-10-26 |
| 1871115154 | Miranda Kay Debus | Licensed Practical Nurse | 311 N Main St, Austin, MN 55912-3407 | 2020-05-10 |
| 1528600418 | Tiffany Vanessa Moya | Licensed Practical Nurse | 13915 Burnet Rd Ste 303, Austin, TX 78728-6505 | 2019-10-11 |
| 1033777057 | Vickie Elaine Carrington | Licensed Practical Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-06-04 |
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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.