MRS. JENNIFER RUTH LARSON


Address: 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379-3387
Phone: 9524033399

MRS. JENNIFER RUTH LARSON (NPI# 1285684555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285684555
Entity Type Individual
Full Name MRS. JENNIFER RUTH LARSON
Credential PA-C
Practice Address 1515 Saint Francis Ave
Suite 150
Shakopee
MN 55379-3387
Mailing Address 21195 Radisson Rd
Shorewood
MN 55331-9189
Practice Telephone 9524033399
Practice Fax Number 9524033390
Mailing Telephone 9524703976
Enumeration Date 2006-05-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 9789 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER LARSON

NPI Name Taxonomy Address Enumeration
1912512856 Jennifer Larson Nurse Practitioner 8325 Barrens Rd, Roanoke, VA 24019-6701 2020-09-08
1427572189 Jennifer S Larson Social Worker 4703 Nw 53rd Ave Ste B2, Gainesville, FL 32653-3403 2017-08-03
1972975019 Jennifer Larson Pharmacist 2707 Gallop Dr, Santa Rosa, CA 95407-4541 2015-10-28
1962820027 Jennifer Ciske Larson Ophthalmology 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 2014-04-04
1952610412 Jennifer L Larson Physical Therapist 1309 W Guadalupe Rd, Suite 1, Mesa, AZ 85202-9112 2010-10-01
1477866762 Jennifer Rae Larson Pharmacist 702 Eagle Hts, Apt. C, Madison, WI 53705-1587 2010-07-15
1508041807 Jennifer Larson Counselor 25 E Washington St Ste 1406, Chicago, IL 60602-1820 2008-01-04
1902005903 Jennifer Anne Larson Dentist 1110 Se 8th St Bldg 200, Ocala, FL 34471-4045 2007-07-11
1629156500 Jennifer Sue Larson Dentist 216 N Lake St, Boyne City, MI 49712-1210 2006-11-01
1487665584 Jennifer Rebekah Larson Clinical Neuropsychologist 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 2006-08-11

Office Location

Street Address 1515 SAINT FRANCIS AVE
SUITE 150
City SHAKOPEE
State MN
Zip Code 55379-3387

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467432716 Michael Jon Walker Surgery 1515 Saint Francis Ave, #100, Shakopee, MN 55379-3387 2006-01-20
1295101178 Autumn Lani Brown Lovas Advanced Practice Midwife 1515 Saint Francis Ave, Shakopee, MN 55379-3387 2015-08-14
1952618464 Dental Specialists of Minnesota, Pllc Dentist 1515 Saint Francis Ave, Suite 145, Shakopee, MN 55379-3387 2010-09-03
1073837134 Park Nicollet Health Care Products Durable Medical Equipment & Medical Supplies 1515 Saint Francis Ave, Shakopee, MN 55379-3387 2010-03-18
1154500718 Heidi Jo Whipple Ohlmann Physical Therapist 1515 Saint Francis Ave, Shakopee, MN 55379-3387 2007-10-31
1447444666 Edwin Ndemo Bogonko Internal Medicine 1515 Saint Francis Ave, Suite # 100, Shakopee, MN 55379-3387 2007-08-30
1346433083 Sarah Marie Vonbank Physical Therapist 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 2007-08-27
1700079365 Valley Rehabilitation Services Clinic/Center 1515 Saint Francis Ave, Shakopee, MN 55379-3387 2007-08-27
1215146550 Jodi Lynn Winters Physician Assistant 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 2007-05-22
1952517930 Roselee Waller Wondra Physical Therapist 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 2007-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073123030 True North Community Dental Clinic, LLC Dentist 415 East First Avenue, Shakopee, MN 55379 2020-08-05
1154988236 Benedictine Living Community of Shakopee LLC Assisted Living Facility 1705 Windermere Way, Shakopee, MN 55379 2019-05-23
1346741394 Expressions In Motion LLC Speech-Language Pathologist 1221 East 4th Ave., Shakopee, MN 55379 2018-02-26
1124529334 A.m Dental Professionals P.a Clinic/Center 1036 1st Ave E, Shakopee, MN 55379 2018-02-22
1538522024 Jesse Sylvester Chiropractor 1275 Ramsey Street South, #600, Shakopee, MN 55379 2016-04-01
1376903963 Dakota Best Transportation LLC Non-emergency Medical Transport (VAN) 449 Dakota Street Apt 2, Shakopee, MN 55379 2016-02-25
1568856631 Tatyana Mishkin Gleyzer Nurse Practitioner 1010 West Sixth Avenue, Shakopee, MN 55379 2015-03-26
1245634039 Kalli Ledel Pharmacist 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 2014-10-22
1487992913 Jennifer Elizabeth Boyd Nurse Practitioner Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 2013-01-17
1013253798 Acts Therapy LLC Counselor 8170 Old Carriage Court North, 215, Shakopee, MN 55379 2012-12-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649446493 Elizabeth Bennett Physician Assistant 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 2008-05-01
1124657549 Mackenzie Ann Loutzenhiser Physician Assistant 4360 12th Ave E, Shakopee, MN 55379-1955 2020-04-07
1023490174 Bridget Nicole Holbrook Physician Assistant 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 2015-06-25
1902217045 Samantha Mantz Physician Assistant 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 2014-05-12
1215146550 Jodi Lynn Winters Physician Assistant 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 2007-05-22
1962611210 Kari Ann Badali Physician Assistant 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 2007-05-22
1063500247 Elizabeth Maureen Kennedy Laliberte Physician Assistant 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 2006-10-11
1386671873 David J Collins Physician Assistant 1455 Saint Francis Ave, Shakopee, MN 55379-3374 2006-06-28
1295781920 Orthopedic Surgical Consultants, P.a. Physician Assistant 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379-3387 2006-05-25
1134194152 Jennifer E Grundhofer Physician Assistant 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2006-02-22
Find all providers in SHAKOPEE

Competitor

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City SHAKOPEE
Zip Code 55379

Improve Information

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Dataset Information

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.

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