LARISA K HELLGREN (NPI# 1174500425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174500425 |
| Entity Type | Individual |
| Full Name | LARISA K HELLGREN |
| Credential | PAC |
| Practice Address |
355 New Shackle Island Rd Hendersonville TN 37075-2479 |
| Mailing Address |
Po Box 2019 Madison TN 37116-2019 |
| Practice Telephone | 6153381258 |
| Practice Fax Number | 6153381251 |
| Mailing Telephone | 6158608822 |
| Mailing Fax Number | 6158657598 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1572 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA051170 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
355 NEW SHACKLE ISLAND RD |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370797 | Hendersonville Hospitalist Services Inc | Internal Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075-2300 | 2005-10-20 |
| 1346704764 | Victoria Mitchell | Nurse Practitioner | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2019-01-30 |
| 1295267722 | Jennifer Grodus | Emergency Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2017-04-03 |
| 1588103329 | Crystal Munday Cornett | Nurse Practitioner | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2017-02-13 |
| 1073986857 | Salient Emergency Physicians, Pllc | Physician Assistant | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2015-11-03 |
| 1033582929 | Red Spruce Emergency Physicians, LLC | Physician Assistant | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2015-11-02 |
| 1417338484 | Brendan Hayes | Emergency Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2015-06-15 |
| 1174912216 | Sara Danette Magoun | Nurse Practitioner | 355 New Shackle Island Rd, Tristar Hendersonville/portland Emergency Department, Hendersonville, TN 37075-2479 | 2015-01-13 |
| 1568865079 | Jennifer Wakefield Meadors | Nurse Practitioner | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2014-09-29 |
| 1720493927 | Amanda Zimmerman | Internal Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740762665 | Erin Jenkins | Physician Assistant | 107 Liberty Cv, Hendersonville, TN 37075-5547 | 2018-09-06 |
| 1710337126 | Starcey Megan Bacon | Physician Assistant | 211 Indian Lake Blvd Ste C, Hendersonville, TN 37075-6214 | 2016-06-16 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1720480304 | Jacqueline Wallenborn | Physician Assistant | 212 Thompson St, Hendersonville, NC 28792-2806 | 2014-09-25 |
| 1477977312 | James Joseph Mcgann | Physician Assistant | 800 N Justice St # 16, Hendersonville, NC 28791-3410 | 2014-02-12 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1285062760 | Lauren Renee Hanson | Physician Assistant | Digestive Health Partners Pa, 1032 Fleming Street, Hendersonville, NC 28791-3532 | 2013-10-21 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1346480159 | Frank W Ritz | Physician Assistant | 220 5th Ave E, Hendersonville, NC 28792-4377 | 2009-03-06 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.