ERIC JACOB LARSEN (NPI# 1205490661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205490661 |
| Entity Type | Individual |
| Full Name | ERIC JACOB LARSEN |
| Credential | DNP |
| Practice Address |
811 Madison St Everett WA 98203-4543 |
| Mailing Address |
Po Box 2569 Everett WA 98213-0569 |
| Practice Telephone | 4252124200 |
| Practice Fax Number | 4252124201 |
| Mailing Telephone | 4252124200 |
| Mailing Fax Number | 4252124201 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60956123 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346503364 | Eric Mellor Larsen | Social Worker | 5308 Northstar St, Anchorage, AK 99518 | 2012-06-25 |
| 1083793004 | Eric Noel Larsen | Optometrist | 7324 W Cheyenne Ave, Suite 1, Las Vegas, NV 89129-7427 | 2006-11-02 |
| 1235634270 | Eric K Larsen | Counselor | 39 South Fullerton Avenue, 3rd Floor, Montclair, NJ 07042 | 2018-03-29 |
| 1386039626 | Eric Larsen | Student in an Organized Health Care Education/Training Program | 25 S 9th St, Philadelphia, PA 19107-4408 | 2015-04-03 |
| 1770998353 | Eric Paul Larsen | Family Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2014-06-23 |
| 1235479478 | Eric Christian Larsen | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2013-02-25 |
| 1912293135 | Eric M Larsen | Podiatrist | 1610 W Townline St, Creston, IA 50801-1066 | 2011-06-27 |
| 1760700678 | Eric Larsen | Nurse Practitioner | 2321 W Dayton Airport Rd, Post Office Box 900, Shelton, WA 98584-6319 | 2010-05-17 |
| 1922266972 | Eric Jon Larsen | Anesthesiology | 2401 S 31st St, Temple, TX 76508-0001 | 2008-05-27 |
| 1295827947 | Eric John Larsen | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2006-09-29 |
| Street Address |
811 MADISON ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140985 | Sondra Lee Laverne | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2006-06-09 |
| 1891394623 | Raymond Francis Lacko Jr. | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-22 |
| 1356940480 | Dennis R Phillips | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-20 |
| 1285243956 | Lauran Elizabeth Tapp | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-28 |
| 1154930147 | Alexa T Nachreiner | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-27 |
| 1134738222 | Jonathan Thomas Wallis | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-24 |
| 1659998417 | Corilynne Woods | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-28 |
| 1942825781 | Lauren F Wilson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-08 |
| 1669096913 | Meghan Irene Rose White | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-02 |
| 1285257790 | Susan Sarrazin | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049449 | Lisa Mitchell | Nurse Practitioner | 12800 Bothell Everett Hwy Ste 220, Everett, WA 98208-6642 | 2019-05-28 |
| 1144660325 | Ann Natalie Haelan | Nurse Practitioner | 2722 Colby Ave Ste 717, Everett, WA 98201-3535 | 2013-07-02 |
| 1023229424 | Barbara Jean Scott | Nurse Practitioner | 1721 Hewitt Avenue, Suite 501, Everett, WA 98201-3546 | 2007-05-25 |
| 1053399923 | Kate Hume | Nurse Practitioner | 4526 Federal Ave, Everett, WA 98203-2132 | 2006-01-02 |
| 1336132778 | Nancy Hamlin | Nurse Practitioner | 1728 W Marine View Dr Ste 109, Everett, WA 98201-2094 | 2005-08-30 |
| 1164947438 | Emma Oswald | Nurse Practitioner | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2017-08-08 |
| 1578012183 | Gale Springer | Nurse Practitioner | 916 Pacific Ave, Everett, WA 98201-4147 | 2016-09-23 |
| 1881140440 | Ilina Bucur | Nurse Practitioner | 1700 13th St, Everett, WA 98201 | 2016-09-01 |
| 1578915062 | Nathaniel Schmidt | Nurse Practitioner | 9930 Evergreen Way Ste Z150, Everett, WA 98204-3889 | 2016-07-07 |
| 1497107122 | Andrew Kokesh | Nurse Practitioner | 1424 Broadway, Everett, WA 98201-1720 | 2016-07-06 |
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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.