BRANDI LARSON (NPI# 1588014336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588014336 |
| Entity Type | Individual |
| Full Name | BRANDI LARSON |
| Credential | NP |
| Practice Address |
777 S Main St Ste 100 Clinton IN 47842-2493 |
| Practice Telephone | 7658281003 |
| Mailing Telephone | 7658281003 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28198009A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006369A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659912780 | Brandi Jo Larson | Nurse Practitioner | 630 N Chelan Ave Ste A7, Wenatchee, WA 98801-6622 | 2019-09-30 |
| 1659859338 | Brandi Louise Larson | Occupational Therapist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2018-08-03 |
| 1306374988 | Brandi Larson | Occupational Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2017-05-26 |
| 1881001840 | Brandi Larson | Registered Nurse | 804 22nd Ave, Kearney, NE 68845-2206 | 2014-07-22 |
| 1497992135 | Brandi Nicole Larson | Specialist/Technologist, Other | 1601 N Wenatchee Ave, Wenatchee, WA 98801-1158 | 2009-01-16 |
| Street Address |
777 S MAIN ST STE 100 |
| City | CLINTON |
| State | IN |
| Zip Code | 47842-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235527797 | Dana Edwardson | Counselor | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2015-01-06 |
| 1386272300 | Alexis Louise Joyner | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-27 |
| 1578190781 | Heather Woods | Counselor | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-26 |
| 1467089656 | Gary Owen Anderson | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-26 |
| 1013565795 | Kasi Oxendine | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2019-08-27 |
| 1437620309 | Chiropractic Specialists of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2018-12-17 |
| 1700301090 | Jessica N Bekkering | Registered Nurse | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2017-08-08 |
| 1609223296 | George R Fritch Iv | Family Medicine | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1174064414 | Venkataramanaiah Kamatam | Physical Therapist | 957 S Main St, Apt :2, Clinton, IN 47842 | 2017-03-20 |
| 1134561491 | Jamileh Farid | Pharmacist | 801 S Main, Union Hospital Clinton Pharmacy, Clinton, IN 47842 | 2013-07-26 |
| 1396289286 | Indiana Hearing LLC | Hearing Aid Equipment | 226 Elm St, Clinton, IN 47842 | 2016-12-12 |
| 1285070177 | Jeffrey Kent Binder | Chiropractor | 119 S. Main St., Clinton, IN 47842 | 2013-05-17 |
| 1679756753 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842 | 2007-12-11 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1144437237 | South Vermillion Community School Corporation | Student in an Organized Health Care Education/Training Program | 800 W. Wildcat Dr., Clinton, IN 47842-0387 | 2007-05-17 |
| 1174511224 | Heritage House of Clinton, Inc. | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842-1053 | 2005-10-12 |
| 1467003418 | Brooke N Janes | Physical Therapy Assistant | 375 S 11th St, Clinton, IN 47842-1053 | 2019-09-21 |
| Find all providers in zip 47842 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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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.