MS. VICKI J LARSON (NPI# 1376701367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376701367 |
| Entity Type | Individual |
| Full Name | MS. VICKI J LARSON |
| Practice Address |
2914 E Powerline Rd Nampa ID 83687-4920 |
| Practice Telephone | 2083530329 |
| Mailing Telephone | 2083530329 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806519600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245404243 | Vicki L Larson | Massage Therapist | 410 N River St, Spooner, WI 54801-1495 | 2008-04-22 |
| 1902934342 | Vicki Larson | Specialist | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-02-28 |
| Street Address |
2914 E POWERLINE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316411671 | Doina Gorla | Custodial Care Facility | 1201 W Flamingo Ave, Nampa, ID 83651-1829 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497107171 | Monte Cache Hibbert | Custodial Care Facility | 121 N 18th Ave, Pocatello, ID 83201-3345 | 2016-07-06 |
| 1497090534 | Ledeen Snyder | Custodial Care Facility | 556 Chute Canyon Way, Bonners Ferry, ID 83805-5219 | 2012-11-30 |
| 1528184595 | Brenda S. Keene | Custodial Care Facility | 1227 W Emmy Ct, Kuna, ID 83634-3028 | 2007-03-22 |
| 1457419418 | Anita Rose Haight | Custodial Care Facility | 2564 Elizabeth Blvd, Twin Falls, ID 83301-7508 | 2006-12-04 |
| 1780242859 | Ute Hathaway | Custodial Care Facility | 1421 W Poleline Ave, Post Falls, ID 83854-9828 | 2019-06-03 |
| 1700313731 | Ssa Vii, LLC | Custodial Care Facility | 13400 N Meyer Rd, Rathdrum, ID 83858-7099 | 2017-05-22 |
Please comment or provide details below to improve the information on MS. VICKI J LARSON.
| 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.