TRACY L LARSON (NPI# 1033551569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033551569 |
| Entity Type | Individual |
| Full Name | TRACY L LARSON |
| Credential | NP |
| Practice Address |
314 Ohmer St Bottineau ND 58318-1059 |
| Practice Telephone | 7012289400 |
| Practice Fax Number | 7012289398 |
| Mailing Telephone | 7012289400 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R32045 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
| 1689630675 | Tracy Lorraine Larson | Psychologist | 211 West Ave, Newark, NY 14513-1336 | 2006-04-26 |
| 1285637207 | Tracy M Larson | Obstetrics & Gynecology | 6401 Morrison Blvd # 2a, Charlotte, NC 28211-3800 | 2005-05-23 |
| 1063032316 | Tracy Larson | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801-3937 | 2020-04-16 |
| 1972804052 | Tracy Larson | Counselor | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2010-11-05 |
| 1285880260 | Tracy Ann Larson | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2008-08-11 |
| 1447203278 | Tracy Larson | Social Worker | 1919 N Amidon Ave, Ste. 100, Wichita, KS 67203-2117 | 2006-05-19 |
| Street Address |
314 OHMER ST |
| City | BOTTINEAU |
| State | ND |
| Zip Code | 58318-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016722 | Saad Rahman | Specialist | 314 Ohmer St, Bottineau, ND 58318-1045 | 2005-07-07 |
| 1962989459 | Kelly D Tiffany | Nurse Practitioner | 314 Ohmer St, Bottineau, ND 58318-1059 | 2018-07-26 |
| 1184177628 | Tyler Rogers | Pharmacist | 314 Ohmer St, Bottineau, ND 58318-1059 | 2016-08-02 |
| 1285651984 | Pharmacists Associates LLC | Pharmacy | 314 Ohmer St, Bottineau, ND 58318-1045 | 2006-07-17 |
| 1346213147 | St. Andrew's Bottineau Clinic, LLC | Specialist | 314 Ohmer St, Bottineau, ND 58318-1045 | 2006-02-10 |
| 1831196732 | Brenda Marquardt | Nurse Practitioner | 314 Ohmer St, Bottineau, ND 58318-1045 | 2005-07-07 |
| 1902803802 | St. Andrew's Bottineau Clinic, LLC | Clinic/Center | 314 Ohmer St, Bottineau, ND 58318-1045 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023340395 | Ryan M Henry | Social Worker | 73 Aspen Ave, Bottineau, ND 58318 | 2010-02-11 |
| 1104002534 | Wal-mart Stores, Inc. | Durable Medical Equipment & Medical Supplies | 912 11th Street East, Bottineau, ND 58318 | 2008-01-16 |
| 1053595223 | Mark W Pewe | Chiropractor | 909 11 St E, Bottineau, ND 58318 | 2007-12-24 |
| 1699817270 | Bottineau Ambulance Service | Ambulance | 323 Bennett St, Bottineau, ND 58318 | 2007-02-12 |
| 1790893899 | Lori Lee Witteman | Dentist | 109 East 5th St, Bottineau, ND 58318 | 2006-08-28 |
| 1033578174 | Block Chiropractic & Wellness | Clinic/Center | 512 Main Street, Bottineau, ND 58318 | 2016-02-17 |
| 1720475767 | Chassidy Sharp | Nurse Practitioner | 516 Main St, Bottineau, ND 58318 | 2015-04-16 |
| 1265660740 | Mark E Koivula | Nurse Practitioner | 516 Main St, Bottineau, ND 58318 | 2009-06-23 |
| 1538338801 | Bottineau Ambulance Service | Ambulance | 323 Bennett St, Bottineau, ND 58318 | 2008-02-21 |
| 1801893706 | St. Andrew's Hospital | General Acute Care Hospital | 316 Ohmer St, Bottineau, ND 58318-1045 | 2005-07-07 |
| Find all providers in zip 58318 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269161 | Pyramid Health, LLC | Nurse Practitioner | 516 Main St, Bottineau, ND 58318-1203 | 2019-01-22 |
| 1962989459 | Kelly D Tiffany | Nurse Practitioner | 314 Ohmer St, Bottineau, ND 58318-1059 | 2018-07-26 |
| 1720475767 | Chassidy Sharp | Nurse Practitioner | 516 Main St, Bottineau, ND 58318 | 2015-04-16 |
| 1265660740 | Mark E Koivula | Nurse Practitioner | 516 Main St, Bottineau, ND 58318 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000901 | Rochelle Rieck | Nurse Practitioner | 4183 153rd Ave Se, Mapleton, ND 58059-9625 | 2020-10-12 |
| 1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
| 1477163335 | Tabitha Elizabeth Clare Solc | Nurse Practitioner | 5770 Orchid Cir, Grand Forks, ND 58201-3232 | 2020-08-05 |
| 1811505241 | Breann Owen | Nurse Practitioner | 14974 27th St Se, Amenia, ND 58004-9756 | 2020-07-22 |
| 1033736376 | Joshua James Hadsell | Nurse Practitioner | 124 Independence Ave, Bismarck, ND 58503-0463 | 2020-07-02 |
| 1447872163 | Gina Marie Kinzler | Nurse Practitioner | 4840 23rd Ave S, Fargo, ND 58104-9136 | 2020-05-15 |
| 1700405685 | Brandi Peterson | Nurse Practitioner | 831 S Broadway Ste 113, Minot, ND 58701-4636 | 2020-04-10 |
| 1497384184 | Rosanne Clare Lohman | Nurse Practitioner | 336 Main St S, Forman, ND 58032-4001 | 2020-04-04 |
| 1114558830 | Tisha Kamrowski | Nurse Practitioner | 1932 7th St Nw, Minot, ND 58703-1317 | 2020-01-31 |
| 1669017265 | Haley Faye Wahl | Nurse Practitioner | 761 48th St S, Fargo, ND 58103-7216 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
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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.