HEIDI C LARSON (NPI# 1528049467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528049467 |
| Entity Type | Individual |
| Full Name | HEIDI C LARSON |
| Credential | PA |
| Practice Address |
2 W 42nd St Suite 1200 Scottsbluff NE 69361-0617 |
| Practice Telephone | 3086301811 |
| Mailing Telephone | 3086301811 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2011-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
782 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 36331415914 | 05 | |
| NE | MEDICARE | 098637077 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501433 | Heidi Noel Larson | Nurse Practitioner | 525 N 13th Ave, Upland, CA 91786-4950 | 2005-10-10 |
| 1134129778 | Heidi C Larson | Podiatrist | 1795 Grandstand Pl, Elgin, IL 60123-4980 | 2005-07-26 |
| 1023142965 | Heidi E. Larson | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1780799437 | Heidi M Larson | Family Medicine | 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966 | 2006-08-21 |
| Street Address |
2 W 42ND ST SUITE 1200 |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-0617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667828 | Scottsbluff Orthopaedic Associates, P.C. | Specialist | 2 W 42nd St, Ste 120, Scottsbluff, NE 69361-0615 | 2005-05-31 |
| 1831729862 | Paula Hopkins | Nurse Practitioner | 2 W 42nd St, Scottsbluff, NE 69361-4669 | 2020-01-17 |
| 1679953475 | Jennifer R Schlothauer | Nurse Practitioner | 2 W 42nd St, Suite 3500, Scottsbluff, NE 69361-0617 | 2015-06-05 |
| 1386987881 | Lisa Bewley | Nurse Practitioner | 2 W 42nd St, Scottsbluff, NE 69361-0617 | 2013-04-03 |
| 1811243801 | Jina L Nemnich | Nurse Practitioner | 2 W 42nd St, Suite 1100, Scottsbluff, NE 69361-0617 | 2012-07-27 |
| 1780963645 | Cara Tucker | Psychologist | 2 W 42nd St, Suite 3200, Scottsbluff, NE 69361-0617 | 2011-08-10 |
| 1700173861 | Regional West Garden County | Family Medicine | 2 W 42nd St, Suite 2300, Scottsbluff, NE 69361-0617 | 2011-07-08 |
| 1932499001 | Humayun Iftikhar | Internal Medicine | 2 W 42nd St, Ste 2200, Scottsbluff, NE 69361-0617 | 2011-04-11 |
| 1558667113 | Katie Metz | Physician Assistant | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0617 | 2011-01-31 |
| 1699093468 | Angela M Kelley | Registered Nurse | 2 W 42nd St, Suite 2100, Scottsbluff, NE 69361-0617 | 2010-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1184970162 | Quick Care Medical Family Medicine | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4303 | 2012-07-27 |
| 1235246547 | Trinity J Fuss | Physician Assistant | 3911 Avenue B Ste 3100, Scottsbluff, NE 69361-4617 | 2006-08-23 |
| 1316956014 | Joseph Edward Jeter | Physician Assistant | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2006-08-05 |
| 1477574176 | Jennie A Brehm | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4336 | 2006-07-21 |
| 1528085354 | Lambert L Stiers | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4336 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1639308893 | Lisa C Degen | Physician Assistant | 2116 W Faidley Ave Ste 400, Grand Island, NE 68803 | 2009-07-09 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1336347616 | Gregory Lee Nabity | Physician Assistant | 1320 E 31st St, Wahoo, NE 68066-5581 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on HEIDI C 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.