MAKENZIE VIOLET LARSON


Address: 1600 Jefferson Park Ave Apt 205, Charlottesville, VA 22903-3267
Phone: 2489531111

MAKENZIE VIOLET LARSON (NPI# 1164060364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164060364
Entity Type Individual
Full Name MAKENZIE VIOLET LARSON
Practice Address 1600 Jefferson Park Ave Apt 205
Charlottesville
VA 22903-3267
Practice Telephone 2489531111
Enumeration Date 2019-12-18
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1600 JEFFERSON PARK AVE APT 205
City CHARLOTTESVILLE
State VA
Zip Code 22903-3267

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1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
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1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255942264 Xavier Thompson Specialist/Technologist 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 2020-08-13
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1285293845 Jennifer Weatherford Fjeseth Specialist/Technologist 114 Commonwealth Cir, Charlottesville, VA 22901-1606 2019-06-07
1477016566 Abigail Forsyth Specialist/Technologist 1894 English Oaks Cir N, Charlottesville, VA 22911-8282 2019-04-07
1164980272 Keri Renzler Specialist/Technologist 2704 White Pine Way, Charlottesville, VA 22911-7462 2019-03-07
1487118113 Breanna Lynn Dufour Specialist/Technologist 2010 Treetop Dr Apt 105, Charlottesville, VA 22903-6634 2019-01-28
1447750633 Djordje Trifunovic Specialist/Technologist 108 Dorset Ct, Charlottesville, VA 22911-8336 2018-02-14
1275046302 Morgan Church Dudley Specialist/Technologist 200 Bob Finley Way, Charlottesville, VA 22903-7045 2017-11-11
1881132942 Samuel Richard Walton Specialist/Technologist 1214 Swan Lake Dr Apt 302, Charlottesville, VA 22902-7266 2017-02-08
1801349741 Mark Perdew Specialist/Technologist 1230 Knightsbridge Ct Apt 201, Charlottesville, VA 22911-4649 2016-07-27
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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