LARISSA M ACKERSON (NPI# 1255666020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255666020 |
| Entity Type | Individual |
| Full Name | LARISSA M ACKERSON |
| Credential | DO |
| Practice Address |
Isu Thielen Student Health Center 2647 Union Drive Ames IA 50011 |
| Mailing Address |
Isu Thielen Student Health Center 2647 Union Drive Ames IA 50011-0001 |
| Practice Telephone | 5152945801 |
| Practice Fax Number | 5152941190 |
| Mailing Telephone | 5152945801 |
| Mailing Fax Number | 5152941190 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04259 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IA LICENSE | 04259 | 01 |
| Street Address |
ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DRIVE |
| City | AMES |
| State | IA |
| Zip Code | 50011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866519 | Mia Manguno | Nurse Practitioner | Isu Thielen Student Health Center 2647 Union Drive, Ames, IA 50011 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209033 | Ian Nelson-johnson | Counselor | 2505 Union Dr Student Services Building, Ames, IA 50011 | 2016-12-16 |
| 1437507159 | Brittni Reifschneider | Nurse Practitioner | 2647 Union Dr, Ames, IA 50011 | 2016-06-03 |
| 1114327335 | Marie Burrows | Nurse Practitioner | Iowa State University, 2260 Thielen Student Health Center, Ames, IA 50011 | 2014-08-25 |
| 1871789982 | Ranae M Roberts | Nurse Practitioner | 2647 Union Drive, Ames, IA 50011 | 2007-09-21 |
| 1346462157 | Victor Jerome Miller | Specialist/Technologist | 1800 South 4th Street, Ames, IA 50011 | 2007-05-02 |
| 1457409948 | Maria D Pringle | Nurse Practitioner | 2647 Union Drive Isu Thielen Student Health Center, Ames, IA 50011 | 2007-01-08 |
| 1295188266 | Sarah Dowd | Physician Assistant | 2647 Union Dr, Ames, IA 50011 | 2016-07-14 |
| 1639221211 | Dabney Larson-hargrafen | Physical Therapist | Isu Thomas B. Thielen Student Health Center, 2647 Union Drive, Ames, IA 50011 | 2007-01-17 |
| 1427672435 | Usha Dorairaj Sivaskandan | Pharmacist | 2647 Union Drive Thielen Student Health Center, Ames, IA 50011-0001 | 2020-06-04 |
| 1619501400 | Mercedes Zapien | Student in an Organized Health Care Education/Training Program | 223 Forker Building 534 Wallace Road Iowa State Unive, Ames, IA 50011-0001 | 2020-03-02 |
| Find all providers in zip 50011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447713607 | Addie Mae Hinson | Family Medicine | 3817 Fletcher Blvd, Ames, IA 50010-4168 | 2019-04-12 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| 1780869586 | Steven Randall Sheldahl | Family Medicine | G11 Tasf Iowa State University, Ames, IA 50011-3020 | 2007-12-31 |
| 1053534107 | Rienera Suzanne Sivesind | Family Medicine | 2724 Meadow Glen Rd, Ames, IA 50014 | 2007-04-10 |
| 1073667606 | Elizabeth Mccurdy | Family Medicine | 3510 Lincoln Way, Ames, IA 50014 | 2007-01-22 |
| 1396808960 | Cosette Scallon | Family Medicine | Isu Thomas B Thielen Student Health Center, Union & Sheldon, Ames, IA 50011-2260 | 2006-12-18 |
| 1508929100 | Pauline Miller | Family Medicine | Isu Thomas B. Thielen Student Health Center, Union & Sheldon Dr, Ames, IA 50011-2260 | 2006-12-18 |
| 1437211174 | Rebecca Fritzsche | Family Medicine | Isu Thomas B Student Health Center, Union & Sheldon Drive, Ames, IA 50011-2260 | 2006-12-15 |
| 1578625398 | Robyn S Engstrom | Family Medicine | Isu Thomas B Thielen Student Health Ctr, Union & Sheldon Dr, Ames, IA 50011-0001 | 2006-12-15 |
| 1184650905 | Laura Elizabeth Moeller | Family Medicine | Iowa State University 2647 Union Drive, Ames, IA 50011-2029 | 2006-06-23 |
| Find all providers in AMES | ||||
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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.