JOHN KENYON LARSEN (NPI# 1538422118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538422118 |
| Entity Type | Individual |
| Full Name | JOHN KENYON LARSEN |
| Other Name | KENNY LARSEN |
| Credential | PA-C |
| Practice Address |
1470 Medical Pkwy Ste 265 Carson City NV 89703-4648 |
| Mailing Address |
1470 Medical Parkway Suite 265 Carson City NV 89703-4648 |
| Practice Telephone | 7754455464 |
| Practice Fax Number | 7754455474 |
| Mailing Telephone | 7754455464 |
| Mailing Fax Number | 7754455474 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2016 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0110003922 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1538422118 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617785 | John W Larsen Jr. | Obstetrics & Gynecology | 575 S 70th St Ste 405, Lincoln, NE 68510-2471 | 2006-02-08 |
| 1790924264 | John Bryon Larsen | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
| 1013154442 | John David Larsen | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2009-01-07 |
| 1578610739 | John Mark Larsen | Neuromusculoskeletal Medicine, Sports Medicine | 1700 Lombard St, Suite 110, Oxnard, CA 93030-8211 | 2007-01-03 |
| 1700974169 | John G Larsen | Pediatrics | 1245 Park Ave, C/o Uptown Pediatrics, New York City, NY 10128 | 2006-10-11 |
| 1265543995 | John A. Larsen | Psychologist | 5350 W 94th Ter, Suite 204, Prairie Village, KS 66207-2504 | 2006-08-31 |
| 1497863401 | John W Larsen | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
| 1932128576 | John A. Larsen | Anesthesiology | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2006-07-18 |
| 1760425128 | John Brent Larsen | Nurse Anesthetist, Certified Registered | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 2006-06-14 |
| Street Address |
1470 MEDICAL PKWY STE 265 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1295261089 | Reno Orthopaedic Clinic Inc | Physician Assistant | 1365 Medical Pkwy, Carson City, NV 89703-4653 | 2017-05-11 |
| 1336493295 | Rachel Webb | Physician Assistant | 973 Mica Dr Ste 101, Carson City, NV 89705-7257 | 2012-10-30 |
| 1881770931 | Lynnette Conrad | Physician Assistant | 1200 Mountain St Ste 230, Carson City, NV 89703 | 2006-10-31 |
| 1588658660 | Jason Call | Physician Assistant | 935 Mica Dr Ste 13, Carson City, NV 89705-7181 | 2005-09-06 |
| 1962407684 | Lisa T Durden | Physician Assistant | 704 W Nye Ln, Ste 203, Carson City, NV 89703-1572 | 2005-06-17 |
| 1457918161 | Quay Hervey | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2019-05-29 |
| 1720557374 | Shelby Real | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2018-11-13 |
| 1225510589 | Matthew Wayne Smith | Physician Assistant | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-09-04 |
| 1982180527 | Jenny Kristine Singh | Physician Assistant | 201 Koontz Ln, Carson City, NV 89701-5513 | 2018-07-17 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
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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.