MS. JENNIFER MARY LARSON (NPI# 1487105599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487105599 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER MARY LARSON |
| Credential | CCC-SLP |
| Practice Address |
9030 W Hadley St Milwaukee WI 53222-4634 |
| Mailing Address |
6273 Upper Pkwy N Wauwatosa WI 53213-2429 |
| Practice Telephone | 4144799923 |
| Mailing Telephone | 4142574681 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2550-154 | WI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1427572189 | Jennifer S Larson | Social Worker | 4703 Nw 53rd Ave Ste B2, Gainesville, FL 32653-3403 | 2017-08-03 |
| 1972975019 | Jennifer Larson | Pharmacist | 2707 Gallop Dr, Santa Rosa, CA 95407-4541 | 2015-10-28 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1952610412 | Jennifer L Larson | Physical Therapist | 1309 W Guadalupe Rd, Suite 1, Mesa, AZ 85202-9112 | 2010-10-01 |
| 1477866762 | Jennifer Rae Larson | Pharmacist | 702 Eagle Hts, Apt. C, Madison, WI 53705-1587 | 2010-07-15 |
| 1508041807 | Jennifer Larson | Counselor | 25 E Washington St Ste 1406, Chicago, IL 60602-1820 | 2008-01-04 |
| 1902005903 | Jennifer Anne Larson | Dentist | 1110 Se 8th St Bldg 200, Ocala, FL 34471-4045 | 2007-07-11 |
| 1629156500 | Jennifer Sue Larson | Dentist | 216 N Lake St, Boyne City, MI 49712-1210 | 2006-11-01 |
| 1487665584 | Jennifer Rebekah Larson | Clinical Neuropsychologist | 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 | 2006-08-11 |
| Street Address |
9030 W HADLEY ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316249 | Michele Scott | Physical Therapy Assistant | 9030 W Hadley St, Milwaukee, WI 53222-4634 | 2010-09-21 |
| 1134653694 | Susan Muhlenhaupt | Physical Therapy Assistant | 9030 W Hadley St, Milwaukee, WI 53222-4634 | 2017-04-11 |
| 1841643871 | Michelle Antoinette Thomas | Physical Therapy Assistant | 9030 W Hadley St, Milwaukee, WI 53222-4634 | 2016-07-14 |
| 1811349574 | Kathryn O'brien | Speech-Language Pathologist | 9030 W Hadley St, Milwaukee, WI 53222-4634 | 2016-07-06 |
| 1073965737 | Molly Morrow | Speech-Language Pathologist | 9030 W Hadley St, Milwaukee, WI 53222-4634 | 2016-07-06 |
| 1073985156 | Gw Medical Staffing | Physical Therapy Assistant | 9030 W Hadley St, Milwaukee, WI 53222-4634 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299489 | Chandler Nies | Speech-Language Pathologist | 139 S 72nd St # A, Milwaukee, WI 53214-1522 | 2020-06-08 |
| 1518590819 | Abigail Decook | Speech-Language Pathologist | 713a E Townsend St, Milwaukee, WI 53212-1633 | 2020-02-15 |
| 1043704018 | Emily Dressler | Speech-Language Pathologist | 161 W Wisconsin Ave Apt 303, Milwaukee, WI 53203-2621 | 2018-06-21 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1164947420 | Lauren Donile | Speech-Language Pathologist | 1012 E Wright St Apt 3, Milwaukee, WI 53212-3096 | 2017-08-08 |
| 1497280150 | Lindsay Haumschild | Speech-Language Pathologist | 3033 N Humboldt Blvd, Milwaukee, WI 53212-2225 | 2017-05-01 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1932552247 | Courtney Miklos | Speech-Language Pathologist | 1635 N Water St, Apartment #513, Milwaukee, WI 53202-2061 | 2016-07-21 |
| 1205288214 | Amanda Thompson | Speech-Language Pathologist | 8505 W Center St Apt 3, Milwaukee, WI 53222-4757 | 2016-07-01 |
| 1134502925 | Zachary Daniel Tillotson | Speech-Language Pathologist | 5652 S 23rd St, Milwaukee, WI 53221-4208 | 2015-06-30 |
| Find all providers in MILWAUKEE | ||||
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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.