KIRSTEN LYNN LARSON (NPI# 1326667833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326667833 |
| Entity Type | Individual |
| Full Name | KIRSTEN LYNN LARSON |
| Credential | ATC |
| Practice Address |
4001 W Mcnichols Rd Detroit MI 48221-3038 |
| Mailing Address |
245 Cranbrook Dr Howell MI 48843-7828 |
| Practice Telephone | 3139931245 |
| Mailing Telephone | 5172944944 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601002035 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOC | 2000028634 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4001 W Mcnichols Rd, Detroit, MI 482213038 | 3139931245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104251990 | Kirsten D Larson | Nurse Practitioner | 2730 W Stonebluff Dr, Wasilla, AK 99654-9442 | 2013-09-11 |
| 1487939047 | Kirsten Larson | Developmental Therapist | 1708 S Western Ave, Park Ridge, IL 60068-5068 | 2011-10-14 |
| 1578717559 | Kirsten M Larson | Physician Assistant | 601 Elmwood Ave Box 656, Rochester, NY 14642-0001 | 2008-11-04 |
| 1023212305 | Kirsten Larson | Licensed Practical Nurse | 1741 Se Lorraine St, Port St Lucie, FL 34952-6540 | 2007-06-12 |
| 1023052073 | Kirsten W Larson | Emergency Medicine | 3329 N Richmond Street, Appleton, WI 54911 | 2006-06-16 |
| 1316565278 | Kirsten Marie Larson | Social Worker | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2020-07-08 |
| 1164931507 | Kirsten Etta Larson | Massage Therapist | 3209 E 57th Ave, Spokane, WA 99223 | 2017-09-28 |
| Street Address |
4001 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558349050 | Amy Dereczyk | Physician Assistant | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2006-01-04 |
| 1073131371 | Hannah Kathleen West | Specialist/Technologist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2020-07-13 |
| 1922635093 | Brianne Jacobson | Specialist/Technologist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2020-03-26 |
| 1679107585 | Mitzi Saunders | Clinical Nurse Specialist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2020-02-29 |
| 1679040133 | Abigail Lillian Barno | Specialist/Technologist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2018-11-01 |
| 1265841662 | Lainie Bisbee | Specialist/Technologist | 4001 W Mcnichols Rd, Calihan Hall, Detroit, MI 48221-3038 | 2014-08-11 |
| 1457769341 | Michael Miller | Specialist/Technologist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2014-07-24 |
| 1518373919 | Ashley Vanmeter | Specialist/Technologist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2014-07-07 |
| 1245579671 | Julia Stocker Schneider | Registered Nurse | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2013-02-05 |
| 1194076042 | Constance Angela Burke | Physician Assistant | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2012-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368985 | Marybeth Taylor | Specialist/Technologist | 261 Mack Ave # 215, Detroit, MI 48201-2417 | 2019-10-24 |
| 1932740776 | Tera D Winton | Specialist/Technologist | 9198 Grayton St, Detroit, MI 48224-1923 | 2019-10-02 |
| 1013471069 | Carlos Lamont Hamilton | Specialist/Technologist | 927 E Grand Blvd, Detroit, MI 48207-1964 | 2019-01-24 |
| 1639642895 | Robert Lee Wright | Specialist/Technologist | 20111 Mendota St, Detroit, MI 48221-1047 | 2019-01-09 |
| 1144772229 | David Robeson Vanzant | Specialist/Technologist | 19 Steve Yzerman Dr, Detroit, MI 48226-4428 | 2016-10-25 |
| 1326405762 | Brianna Nicole Gauna | Specialist/Technologist | 42 W Warren Ave, Detroit, MI 48201-1347 | 2016-01-15 |
| 1205985322 | Michael Chan | Specialist/Technologist | 5101 John C Lodge Fwy, 101 Matthaei Building, Detroit, MI 48202-3327 | 2007-01-09 |
| 1407904071 | Steven Bruce Carter | Specialist/Technologist | 2100 Woodward Ave, Detroit, MI 48201-3470 | 2007-01-08 |
| 1316094899 | Marcus Alexander Ebejer | Specialist/Technologist | 216 Mack Ave, Detroit, MI 48201 | 2007-01-05 |
| 1205852621 | Nicole L Schreiber | Specialist/Technologist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2006-07-15 |
| Find all providers in DETROIT | ||||
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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.