AMANDA LARSON (NPI# 1285150060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285150060 |
| Entity Type | Individual |
| Full Name | AMANDA LARSON |
| Credential | PA |
| Practice Address |
2401 S 31st St Temple TX 76508-0001 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547242111 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1487955316 | Amanda Nicole Larson | Military Health Care Provider | 500 Center St, Building 22, Wahiawa, HI 96786-3007 | 2010-11-09 |
| 1114568912 | Amanda Maria Larson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-10-02 |
| 1154887453 | Amanda Larson | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2019-02-12 |
| 1922454727 | Amanda Larson | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2016-05-11 |
| 1275914913 | Amanda Larson | Physical Therapist | 1977 Dewar Dr Ste J, Rock Springs, WY 82901-5757 | 2015-06-17 |
| 1053729327 | Amanda Larson | Registered Nurse | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2014-07-30 |
| 1609292713 | Amanda Larson | Psychologist | 1009 44th St Sw, 103, Wyoming, MI 49509 | 2014-03-13 |
| 1063789006 | Amanda Larson | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2011-11-18 |
| 1336464544 | Amanda Celest Roof Larson | Orthopaedic Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-03-30 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
| Find all providers in zip 76508 | ||||
| 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 |
|---|---|---|---|---|
| 1942701552 | Chun Mathers | Physician Assistant | 1605 S 31st Street Center for Diagnotic Medicine, Temple, TX 76508 | 2018-02-28 |
| 1679666119 | Rick E Whitley | Physician Assistant | 2010 Sw H K Dodgen Loop, Suite 100, Temple, TX 76504-7062 | 2006-10-02 |
| 1962516617 | Michael Dean Mcmillan | Physician Assistant | 1901 E. First Street, Temple, TX 76504 | 2006-08-19 |
| 1891706370 | Mack Allen Pattarozzi | Physician Assistant | 1901 So. 1st Street, Temple, TX 76504-7451 | 2006-08-10 |
| 1942219001 | David Joseph Arzt | Physician Assistant | 1901 Veterans Memorial, Temple, TX 76504 | 2006-08-07 |
| 1194777276 | Laura Powell | Physician Assistant | 5525 Travis Ct, Temple, TX 76502-6657 | 2006-05-16 |
| 1306807953 | Alisha Jilly Roff | Physician Assistant | 304 S. 22nd Street, Temple, TX 76501 | 2006-03-31 |
| 1073157475 | Elizabeth A Moyer | Physician Assistant | 4201 Kutztown Rd, Temple, PA 19560-1836 | 2019-10-30 |
| 1851949812 | Allyson Brooke Eaton | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2019-09-03 |
| 1417519976 | Jenni Anne Day | Physician Assistant | 2401 S 31st St, Temple, TX 76508-2345 | 2019-07-05 |
| Find all providers in TEMPLE | ||||
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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.