MR. MATTHEW WAYNE LARSEN (NPI# 1184953739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184953739 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW WAYNE LARSEN |
| Credential | RDN, CDE |
| Practice Address |
210 Sunnyview Ln Ste 103 Kalispell MT 59901 |
| Mailing Address |
210 Sunnyview Ln Ste 103 Kalispell MT 59901-3128 |
| Practice Telephone | 4062573872 |
| Practice Fax Number | 4067587077 |
| Mailing Telephone | 4062573872 |
| Mailing Fax Number | 4067587077 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 59321 | MT | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356293 | Matthew Larsen | Specialist/Technologist | 501 E 14th St Apt 34, Minneapolis, MN 55404-1409 | 2020-04-30 |
| 1417944737 | Matthew T Larsen | Podiatrist | 3500 Meachem Rd, Racine, WI 53405-4662 | 2005-10-03 |
| 1932766458 | Matthew Larsen | Advanced Practice Midwife | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2019-05-20 |
| 1831413681 | Matthew F Larsen | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2010-03-23 |
| 1255569794 | Matthew Anthony Larsen | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-8041 | 2009-06-23 |
| 1588820245 | Matthew Larsen | Emergency Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4119 | 2008-08-01 |
| 1194916049 | Matthew Justin Larsen | Emergency Medicine | 230 Mckee Pl, Suite 500, Pittsburgh, PA 15213-3903 | 2007-08-06 |
| 1528183878 | Matthew D Larsen | Physical Therapist | 1492 W Antelope Dr Ste 100, Layton, UT 84041-1151 | 2007-03-19 |
| Street Address |
210 SUNNYVIEW LN STE 103 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679868558 | Adriane Floyd Haragan | Obstetrics & Gynecology | 210 Sunnyview Ln Ste 103, Kalispell, MT 59901 | 2011-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225696834 | Linda Kay Fredenberg | Dietitian, Registered | 1297 Burns Way Ste 3b, Kalispell, MT 59901-3162 | 2019-05-30 |
| 1063970739 | Sarah Elijah Scherer | Dietitian, Registered | 11 Vanderbilt Dr, Kalispell, MT 59901-2580 | 2019-03-12 |
| 1720058365 | Laura Jo Barker | Dietitian, Registered | 1287 Burns Way, Kalispell, MT 59901-3109 | 2006-01-25 |
| 1871129296 | Melanie Greyn Fretwell | Dietitian, Registered | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-03-17 |
| 1871125443 | Ember Nutrition and Training LLC | Dietitian, Registered | 300 1st Ave W, Kalispell, MT 59901-4834 | 2020-02-11 |
| 1417595653 | Jennifer Ann Robey | Dietitian, Registered | 430 Windward Way, Kalispell, MT 59901-2619 | 2019-12-18 |
| 1437521077 | Marci Shaffer | Dietitian, Registered | 430 Windward Way Ste 101, Kalispell, MT 59901-2618 | 2015-10-22 |
| 1194138974 | Grace Caplan | Dietitian, Registered | 160 Heritage Way, Suite 102, Kalispell, MT 59901-3161 | 2014-06-09 |
| 1447677695 | Holly Nickels | Dietitian, Registered | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2014-03-26 |
| 1619317476 | Kilani M Klette | Dietitian, Registered | 430 Windward Way Ste 101, Kalispell, MT 59901 | 2013-06-26 |
| Find all providers in KALISPELL | ||||
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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.