AMANDA LARSON (NPI# 1053729327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053729327 |
| Entity Type | Individual |
| Full Name | AMANDA LARSON |
| Practice Address |
5801 Crossings Blvd Antioch TN 37013-3130 |
| Mailing Address |
2620 N Mount Juliet Rd Mount Juliet TN 37122-8015 |
| Practice Telephone | 6159418501 |
| Mailing Telephone | 6157735785 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 160038 | TN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 18969 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
18969 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1487955316 | Amanda Nicole Larson | Military Health Care Provider | 500 Center St, Building 22, Wahiawa, HI 96786-3007 | 2010-11-09 |
| 1114568912 | Amanda Maria Larson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-10-02 |
| 1154887453 | Amanda Larson | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2019-02-12 |
| 1285150060 | Amanda Larson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2017-08-14 |
| 1922454727 | Amanda Larson | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2016-05-11 |
| 1275914913 | Amanda Larson | Physical Therapist | 1977 Dewar Dr Ste J, Rock Springs, WY 82901-5757 | 2015-06-17 |
| 1609292713 | Amanda Larson | Psychologist | 1009 44th St Sw, 103, Wyoming, MI 49509 | 2014-03-13 |
| 1063789006 | Amanda Larson | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2011-11-18 |
| 1336464544 | Amanda Celest Roof Larson | Orthopaedic Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-03-30 |
| Street Address |
5801 CROSSINGS BLVD |
| City | ANTIOCH |
| State | TN |
| Zip Code | 37013-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859317 | William H Leone | Anesthesiology | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2005-05-24 |
| 1205469517 | Brooklyn Cauthen | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2020-02-14 |
| 1851805865 | Shannon Nicole Morrish | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2017-11-29 |
| 1699288001 | Megynn Marilla Webb | Physician Assistant | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2017-11-07 |
| 1285185009 | Arleshea Atmore | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2016-10-17 |
| 1528514064 | Erin Catherine Perry | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2016-08-25 |
| 1104278043 | Amanda Kaye Arnold | Dietitian, Registered | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2016-07-03 |
| 1477925568 | Crystal Johnson | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2015-10-28 |
| 1487046470 | Catherine Jones | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2015-02-27 |
| 1588052054 | Jamie M Boggs | Physician Assistant | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922664085 | Morgan Anderson Gilliland | Nurse Practitioner | 3711 Sunset Ln Ste D, Antioch, CA 94509-6125 | 2019-05-14 |
| 1255671269 | Taiwo T Everett | Nurse Practitioner | 605 Mount Hood Dr, Antioch, TN 37013-1789 | 2013-02-27 |
| 1346264967 | Carol Candiotti | Nurse Practitioner | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2006-07-27 |
| 1205469517 | Brooklyn Cauthen | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2020-02-14 |
| 1245896828 | Liana Simoni | Nurse Practitioner | 4053 Lone Tree Way Ste 201, Antioch, CA 94531-6210 | 2019-05-19 |
| 1699237404 | Andrea Marie Hidalgo | Nurse Practitioner | 4041 Lone Tree Way, Ste 110, Antioch, CA 94531-6208 | 2019-04-01 |
| 1699213835 | Christina Nardi | Nurse Practitioner | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2017-02-08 |
| 1285185009 | Arleshea Atmore | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2016-10-17 |
| 1477925568 | Crystal Johnson | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2015-10-28 |
| 1467840850 | Nancy Chuks-orji | Nurse Practitioner | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 | 2015-01-07 |
| Find all providers in ANTIOCH | ||||
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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.