MRS. JILL DYVON LARSON (NPI# 1477678696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477678696 |
| Entity Type | Individual |
| Full Name | MRS. JILL DYVON LARSON |
| Credential | APN |
| Practice Address |
3118 Alcoa Hwy Knoxville TN 37920-4791 |
| Practice Telephone | 8653147125 |
| Mailing Telephone | 8653147125 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 12618 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
12618 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1510344 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Dunhill Pl Nw, Cleveland, TN 373113885 | 4233399581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336422708 | Jill M Larson | Social Worker | 124 Route 2a, Preston, CT 06365-8537 | 2011-09-22 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1538213004 | Jill Leblanc Larson | Dentist | 601east Main Street, Ville Platte, LA 70586 | 2007-01-22 |
| 1023524337 | Jill Marie Larson | Behavior Technician | 3978 Sorrento Valley Blvd, San Diego, CA 92121-1436 | 2017-12-21 |
| 1306191325 | Jill Kristine Larson | Physical Therapist | 2101 Wooddale Dr, Suite A, Woodbury, MN 55125-4441 | 2012-07-16 |
| 1992090930 | Jill Larson | Orthopaedic Surgery | 676 N Saint Clair St, Suite 1350, Chicago, IL 60611-2927 | 2011-06-17 |
| 1174612253 | Jill C. Larson | Family Medicine | 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149-8475 | 2006-10-12 |
| Street Address |
3118 ALCOA HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029227 | Physicians Group Pllc | Family Medicine | 3118 Alcoa Hwy, Knoxville, TN 37920-4791 | 2019-12-04 |
| 1780112805 | National Physicians PC | Family Medicine | 3118 Alcoa Hwy, Knoxville, TN 37920-4791 | 2017-06-02 |
| 1598299349 | National Low T Clinic | Family Medicine | 3118 Alcoa Hwy, Knoxville, TN 37920-4791 | 2017-04-19 |
| 1407301229 | Farideh Golembiewski | Nurse Practitioner | 3118 Alcoa Hwy, Knoxville, TN 37920-4791 | 2016-08-22 |
| 1376668582 | Richard Hilmey Harb Sr. | Dentist | 3118 Alcoa Hwy, Knoxville, TN 37920 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1588274542 | Heather Herren | Nurse Practitioner | 12337 N Fox Den Dr, Knoxville, TN 37934-3713 | 2020-08-05 |
| 1194333849 | Kaci Carol Newlin | Nurse Practitioner | 1924 Alcoa Hwy # C460, Knoxville, TN 37920-1511 | 2020-07-20 |
| 1801428958 | Alexandria Paige Watson | Nurse Practitioner | 4928 Homberg Dr Ste 27, Knoxville, TN 37919-5145 | 2020-02-06 |
| 1891333191 | Knoxville Home Care Services LLC | Nurse Practitioner | 1512 Coleman Rd Ste 302, Knoxville, TN 37909-2828 | 2019-12-17 |
| 1184267148 | Becky Lynn Lyons Dills | Nurse Practitioner | 1220 Amber Meadows Cir, Knoxville, TN 37932-2401 | 2019-10-22 |
| 1083260764 | Logan Dameron | Nurse Practitioner | 4156 Walker Blvd, Knoxville, TN 37917-2217 | 2019-08-17 |
| 1518510163 | Dusti Autumn Jones | Nurse Practitioner | 3325 Barbury Ln, Knoxville, TN 37931-1443 | 2019-07-23 |
| 1487206777 | Harli-blaine L Oran | Nurse Practitioner | 4713 Papermill Dr Ste 301, Knoxville, TN 37909-1908 | 2019-07-16 |
| 1942764907 | Andrew Russell Brower | Nurse Practitioner | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2019-01-24 |
| Find all providers in KNOXVILLE | ||||
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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.