MRS. JILL KATHERINE LARSEN (NPI# 1316991086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316991086 |
| Entity Type | Individual |
| Full Name | MRS. JILL KATHERINE LARSEN |
| Credential | PA |
| Practice Address |
200 Elm St N Onamia MN 56359-7901 |
| Mailing Address |
320 E Main St Crosby MN 56441-1645 |
| Practice Telephone | 3205323154 |
| Practice Fax Number | 3205323111 |
| Mailing Telephone | 2185468375 |
| Mailing Fax Number | 2185464400 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9975 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA ONAMIA CLINIC | 01-20459 | 01 |
| MN | 911435100 | 05 | |
| MN | HEALTH PARTNERS | HP50104 | 01 |
| MN | PREFERRED ONE | NA9091043681 | 01 |
| MN | UCARE | 132635 | 01 |
| MN | MEDICA HILLMAN CLINIC | 01-20460 | 01 |
| MN | MEDICA ISLE CLINIC | 01-20461 | 01 |
| MN | BLUE CROSS CLINICS | 430L3LA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861672909 | Jill R Larsen | Physician Assistant | 11 Doctors Dr, Ocean Springs, MS 39564-5709 | 2007-11-06 |
| 1871987586 | Jill Larsen | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2015-03-20 |
| 1992036701 | Jill Leah Larsen | Anesthesiology | 305 S State St, Aberdeen, SD 57401-4527 | 2010-01-18 |
| 1760655690 | Jill J Larsen | Registered Nurse | 151 S University Ave # 1900, Provo, UT 84601-4427 | 2008-04-11 |
| 1972700433 | Jill Larsen | Psychologist | 100 Cummings Center, Suite 151-b, Beverly, MA 01915 | 2007-06-28 |
| 1659457299 | Jill Hemingway Larsen | Registered Nurse | 170 N 1100 E, American Fork, UT 84003-2096 | 2006-10-27 |
| Street Address |
200 ELM ST N |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226297 | David William Strobel | Family Medicine | 200 Elm St N, Onamia, MN 56359-7901 | 2005-12-21 |
| 1144857673 | Josh Kruize | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2020-03-25 |
| 1427519578 | Jennifer Franko Greer | Physical Therapist | 200 Elm St N, Onamia, MN 56359 | 2019-03-29 |
| 1841758935 | Corey Pieper | Psychologist | 200 Elm St N, Onamia, MN 56359-7901 | 2019-03-07 |
| 1821552134 | Bess Michelle Kuzma | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-31 |
| 1134693518 | Travis Ray Green | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-18 |
| 1356862700 | Jennifer Rae Will | Registered Nurse | 200 Elm St N, Onamia, MN 56359-7901 | 2017-07-06 |
| 1235689621 | Mille Lacs Health System | Chiropractor | 200 Elm St N, Onamia, MN 56359-7901 | 2016-10-10 |
| 1447606868 | Kari Collett | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-0807 | 2016-05-05 |
| 1427415389 | Beth Twite | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2016-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356397509 | Edmund Alexander Larka | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-05-26 |
| 1740233006 | Mark Duane Marshall | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-05-18 |
| 1487607172 | Thomas Eric Pahl | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-05-17 |
| 1982670758 | Erik C Rivers | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-02-23 |
| 1891769592 | Joan Marie Shields | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-02-17 |
| 1912970708 | Peter John Lindbloom | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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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.