PETER LARSON (NPI# 1073053518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073053518 |
| Entity Type | Individual |
| Full Name | PETER LARSON |
| Credential | NP-C |
| Practice Address |
3025 W Cherry Ln Suite B Meridian ID 83642-8531 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083026400 |
| Practice Fax Number | 2083026455 |
| Mailing Telephone | 2083026400 |
| Mailing Fax Number | 2083026455 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
55261 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952515660 | Peter Fredrik Larson | Counselor | 1268 Schodack Valley Rd, Castleton, NY 12033-9737 | 2007-05-10 |
| 1619225166 | Peter D Larson | Physical Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2012-08-15 |
| 1972792620 | Peter John Larson | Internal Medicine | 153 W 11th St, New York, NY 10011-8305 | 2007-10-18 |
| 1487763314 | Peter Larson | Physical Therapist | 211 E Mill Street, Pelican Rapids, MN 56572-4234 | 2006-08-30 |
| 1255385118 | Peter J Larson | Nurse Anesthetist, Certified Registered | 1650 4th St Se, Rochester, MN 55904-4717 | 2006-05-22 |
| 1396706511 | Peter Richard Larson | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2006-03-29 |
| Street Address |
3025 W CHERRY LN SUITE B |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-8531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264003 | Donald K Stott | Internal Medicine | 3025 W Cherry Ln, Meridian, ID 83642-1125 | 2005-08-31 |
| 1710538251 | Jill Harris | Physical Therapist | 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2019-09-25 |
| 1033669908 | Sarah Hayden | Physician Assistant | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-8531 | 2016-10-04 |
| 1407303340 | Olivia Rochelle Mangeac | Physician Assistant | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-8531 | 2016-09-08 |
| 1558741033 | Allyson Barton | Physical Therapist | 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2015-06-01 |
| 1477747632 | Idaho Heart Care | Internal Medicine | 3025 W Cherry Ln, Suite 205, Meridian, ID 83642-8531 | 2007-08-30 |
| 1568664506 | Vision Quest Medical Center, Pa | Optometrist | 3025 W Cherry Ln, Suite 207, Meridian, ID 83642-1125 | 2007-06-01 |
| 1104045392 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 3025 W Cherry Ln, Suite D, Meridian, ID 83642 | 2007-04-25 |
| 1619018926 | Diane M Hulbert | Advanced Practice Midwife | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-1125 | 2007-02-09 |
| 1508877788 | Crystal L Jencks | Family Medicine | 3025 W Cherry Ln, Ste B, Meridian, ID 83642-8531 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| Find all providers in MERIDIAN | ||||
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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.