DR. STEPHANIE LARSON (NPI# 1295134385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295134385 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE LARSON |
| Other Name | STEPHANIE LYNN BOGERS |
| Credential | MD |
| Practice Address |
211 W 33rd St Kearney NE 68845-3484 |
| Mailing Address |
211 W 33rd St Kearney NE 68845 |
| Practice Telephone | 3088652141 |
| Practice Fax Number | 3086981330 |
| Mailing Telephone | 3088652141 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28965 | NE | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 7249 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 983075 University of Nebraska Medical Ctr, Omaha, NE 681983075 | 4025597249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657218 | Stephanie Sebastiani Larson | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-04-02 |
| 1134773831 | Stephanie Larson | Physical Therapist | 6789 Elm Valley Dr, Kalamazoo, MI 49009-7476 | 2019-07-31 |
| 1215408422 | Stephanie Larson | Case Manager/Care Coordinator | 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 | 2018-12-16 |
| 1013482264 | Stephanie Larson | Counselor | 1499 Sixth Street, Green Bay, WI 54304 | 2018-10-03 |
| 1942687785 | Stephanie Larson | Family Medicine | 7373 France Ave S Ste 202, Edina, MN 55435-4551 | 2015-04-30 |
| 1992118798 | Stephanie Larson | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-06-09 |
| 1871919175 | Stephanie Karin Larson | Social Worker | 4801 Veterans Drive, St. Cloud Va Health Care System, St Cloud, MN 56303 | 2014-03-11 |
| 1912294943 | Stephanie Larson | Pharmacist | 2705 Teller Rd, T-1100, Thousand Oaks, CA 91320-1190 | 2011-06-28 |
| 1285924175 | Stephanie Larson | Emergency Medicine | 2314 Sassafras St, 3rd Floor, Erie, PA 16502-2722 | 2011-04-12 |
| 1356648257 | Stephanie Lynn Larson | Counselor | 1790 W 11th Ave, Eugene, OR 97402-3758 | 2011-02-12 |
| Street Address |
211 W 33RD ST |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-3484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003722 | Gregg A Dahlgren | Physical Therapist | 211 W 33rd St, Kearney, NE 68845-3456 | 2006-05-24 |
| 1023616877 | Sara Malzacher | Nurse Practitioner | 211 W 33rd St, Kearney, NE 68845-3484 | 2020-10-14 |
| 1932715182 | Christin Khayat | Registered Nurse | 211 W 33rd St, Kearney, NE 68845-3484 | 2020-09-22 |
| 1114561909 | Amber Rogers | Nurse Practitioner | 211 W 33rd St, Kearney, NE 68845-3484 | 2019-11-05 |
| 1609417500 | Danielle Connely | Occupational Therapist | 211 W 33rd St, Kearney, NE 68845-3484 | 2019-10-01 |
| 1114589629 | Rebecca Elizabeth Kahrs | Family Medicine | 211 W 33rd St, Kearney, NE 68845-3484 | 2019-07-03 |
| 1225698319 | William Glen Westman | Physical Therapist | 211 W 33rd St, Kearney, NE 68845-3484 | 2019-06-19 |
| 1831664200 | Kayla Jo Singleton | Counselor | 211 W 33rd St, Kearney, NE 68845-3484 | 2018-10-11 |
| 1285138065 | Chi Health Clinic Physician Enterprise - Kearney LLC | Physical Medicine & Rehabilitation | 211 W 33rd St, Kearney, NE 68845-3484 | 2018-03-19 |
| 1366943730 | Central Nebraska Pediatrics LLC | Pediatrics | 211 W 33rd St, Kearney, NE 68845-3484 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| 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 |
|---|---|---|---|---|
| 1861946790 | Sage Creek Integrative Health LLC | Family Medicine | 304 W 39th St, Kearney, NE 68845-2804 | 2016-08-09 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1184962474 | New Liberty Hospital Corporation | Family Medicine | 15415 92 Hwy, Kearney, MO 64060-8002 | 2013-01-22 |
| 1285927608 | Jenna N. Derr | Family Medicine | 3320 A Ave, Kearney, NE 68847-2931 | 2011-05-18 |
| 1023338373 | Jessica Marie Hatch | Family Medicine | 3907 6th Avenue, Kearney, NE 68845 | 2010-06-09 |
| 1386793602 | Janet L Gilbert | Family Medicine | 15415 Hwy 92, Kearney, MO 64060 | 2007-01-09 |
| 1356410203 | Yvette M Haeberle | Family Medicine | 10 E. 31 Street, Kearney, NE 68847-6884 | 2006-11-07 |
| 1316030448 | Denise M. Sammons | Family Medicine | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2006-10-02 |
| 1407870488 | John R Jacobsen | Family Medicine | 416 W 48th St Ste 28, Kearney, NE 68845-1314 | 2006-07-26 |
| 1881672236 | Robert D Thomas | Family Medicine | 305 S Platte Clay Way, Kearney, MO 64060-8214 | 2006-01-05 |
| Find all providers in KEARNEY | ||||
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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.