CASSANDRA LARSEN (NPI# 1265064620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265064620 |
| Entity Type | Individual |
| Full Name | CASSANDRA LARSEN |
| Credential | RN, CDE |
| Practice Address |
1600 W 22nd St Sioux Falls SD 57105-1521 |
| Practice Telephone | 6053121000 |
| Practice Fax Number | 6053121001 |
| Mailing Telephone | 6053121000 |
| Mailing Fax Number | 6053121001 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
21900541 | SD | Nursing Service Providers |
| Street Address |
1600 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425740 | John H Shelso | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2005-05-27 |
| 1831714245 | Shea Bonine | Genetic Counselor, MS | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-06-11 |
| 1952922932 | Kyla Stoops | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-05-01 |
| 1245871466 | Noelle Marie Mcgee | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-09-30 |
| 1780240622 | Nathaniel R. Nelson | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-05-16 |
| 1457914046 | Michelle Ahnberg | Clinical Nurse Specialist | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-04-18 |
| 1548737018 | Jacqueline Deborah Weidauer | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-11-01 |
| 1801373766 | Ashlee Blumhoff | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105 | 2018-07-24 |
| 1619464294 | Pamela Ann Koepsell | Clinical Nurse Specialist | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-04-18 |
| 1104335728 | Sarah Dorr | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942650452 | Crystal Dee Beckman | Registered Nurse | 1305 W 18th St, Sanford Diabetes Care Center, Sioux Falls, SD 57105-0401 | 2016-06-15 |
| 1588873145 | Rhonda R Jensen | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1932684727 | Kelly Grimshaw | Registered Nurse | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2018-09-27 |
| 1922413368 | Jami Lynn Larson | Registered Nurse | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2014-06-24 |
| 1588805816 | Colleen R Permann | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1396986626 | Craig A Noteboom | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1104028257 | Linda Jane Sandvik | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2007-06-01 |
| 1154324614 | Diane Anderson | Registered Nurse | 71 Charles St, Deadwood, SD 57732-1303 | 2005-05-27 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on CASSANDRA LARSEN.
| 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.