MISS ELIZABETH ANN LARSON (NPI# 1033661087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033661087 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH ANN LARSON |
| Practice Address |
1701 Forestdale Ave Beavercreek OH 45432-3913 |
| Practice Telephone | 9373058075 |
| Mailing Telephone | 9373058075 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610021 | Elizabeth Rose Larson | Technician/Technologist | 2901 Bennett Ave, Anchorage, AK 99517-2467 | 2020-08-19 |
| 1417331083 | Elizabeth Larson | Nurse Practitioner | 9025 Pomelo Rd W, Fort Myers, FL 33967-3723 | 2015-07-14 |
| 1306074059 | Elizabeth Ann Larson | Occupational Therapist | 725 Orion Trl, Madison, WI 53718-2927 | 2009-07-01 |
| 1558560045 | Elizabeth Grace Larson | Counselor | 127 Franklin Rd, Ste 215, Brentwood, TN 37027-4662 | 2007-07-13 |
| 1124628243 | Elizabeth Marie Larson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-28 |
| 1679049910 | Elizabeth Larson | Nurse Practitioner | 2905 5th St, Rapid City, SD 57701-7350 | 2018-10-14 |
| 1245608181 | Elizabeth Larson | Dietitian, Registered | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-09-09 |
| 1831507227 | Elizabeth Larson | Case Manager/Care Coordinator | 1616 Capitol Way, Bismarck, ND 58501-2100 | 2014-07-29 |
| 1093067118 | Elizabeth Larson | Occupational Therapist | 16250 Ne 74th St, Redmond, WA 98052-7817 | 2012-10-12 |
| 1740538313 | Elizabeth Larson | Physical Therapist | 5535 S Williamson Blvd, Ste 774, Port Orange, FL 32128-8311 | 2012-08-29 |
| Street Address |
1701 FORESTDALE AVE |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1588271886 | Kenneth Knoechel | Student in an Organized Health Care Education/Training Program | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-09-30 |
| 1568091254 | Emily Mahran | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-03 |
| 1124656327 | Alexander Joseph Koehler | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-01 |
| 1013545540 | Michelle Renee Axe | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-30 |
| 1104454982 | Emily Rawlings | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1720616428 | Kyler Benjamin Dykes | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1205463205 | Chelsea Brunsman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
Please comment or provide details below to improve the information on MISS ELIZABETH ANN LARSON.
| 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.