PROF. DIANE KAY LARSON II (NPI# 1073112934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073112934 |
| Entity Type | Individual |
| Full Name | PROF. DIANE KAY LARSON II |
| Practice Address |
100 N Anderson St Tuttle ND 58488-8809 |
| Practice Telephone | 7018672535 |
| Mailing Telephone | 7018672535 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
ND | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772052 | Diane Averill Larson | Marriage & Family Therapist | 2101 E Broadway Rd Ste 4, Tempe, AZ 85282-1735 | 2018-06-01 |
| 1447462635 | Diane Jean Larson | Licensed Practical Nurse | W2273 Koene Ct, Sheboygan Falls, WI 53085-2719 | 2007-05-03 |
| 1306057617 | Diane B Larson | Advanced Practice Midwife | 1001 Hart Blvd, Ste 100, Monticello, MN 55362-8670 | 2007-05-25 |
| 1023231727 | Diane M Larson | Social Worker | 14144 Nephron Ln, Hudson, FL 34667-6504 | 2007-04-11 |
| Street Address |
100 N ANDERSON ST |
| City | TUTTLE |
| State | ND |
| Zip Code | 58488-8809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| 1083246169 | Samantha J Rumley | Nurse Practitioner | 2401 County Road 1196, Tuttle, OK 73089-2436 | 2020-02-06 |
| 1285145185 | Tori Coats | Speech-Language Pathologist | 1222 Pine Rdg, Tuttle, OK 73089-8319 | 2017-10-18 |
| 1194241430 | Onesource LLC | Pharmacy | 100 Don Williams Ave, Ste 100, Tuttle, OK 74730 | 2017-08-18 |
| 1346765849 | Anthony Owens | Case Manager/Care Coordinator | 1284 County Street 2953, Tuttle, OK 73089-3821 | 2017-08-07 |
| 1306394994 | Terra Melton | Behavioral Analyst | 602 Country Dr, Tuttle, OK 73089-7909 | 2016-09-13 |
| 1295283836 | Cody Brown | Behavioral Analyst | 925 N Sara Rd, Tuttle, OK 73089-8509 | 2016-09-12 |
| 1659754612 | Tonna Shoffit | Counselor | 1802 County Road 1210, Tuttle, OK 73089-3005 | 2015-07-08 |
| 1710306519 | Ashley Smith | Speech-Language Pathologist | 1305 Kingston St, Tuttle, OK 73089-9243 | 2014-04-09 |
| Find all providers in TUTTLE | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
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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.