MS. JERRIE A LARSEN (NPI# 1548355068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548355068 |
| Entity Type | Individual |
| Full Name | MS. JERRIE A LARSEN |
| Credential | BS RN CRA CWS |
| Practice Address |
2012 Ne 52nd St Seattle WA 98105-3344 |
| Practice Telephone | 2065239948 |
| Mailing Telephone | 2065239948 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 364S00000X | Clinical Nurse Specialist | RN00046956 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
RN00046956 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2012 NE 52ND ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679012421 | Veronika Y. Smirnova | Clinical Nurse Specialist | 1100 9th Ave, Seattle, WA 98101-2756 | 2017-02-13 |
| 1417095159 | Denise M Tootill | Clinical Nurse Specialist | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-02-02 |
| 1013013747 | Laura C Heard | Clinical Nurse Specialist | 1660 S Columbian Way, #128, Seattle, WA 98108-1532 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407874530 | Patricia Jo Murphy | Clinical Nurse Specialist | 6505 218th St Sw Ste 9, Mountlake Terrace, WA 98043-2135 | 2006-07-17 |
| 1861495327 | Frontier Behavioral Health | Clinical Nurse Specialist | 107 S Division St, Spokane, WA 99202 | 2005-05-27 |
| 1366573941 | Leanna Jean Ray-colby | Clinical Nurse Specialist | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2007-03-08 |
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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.