BRENDA LEE LARSON (NPI# 1588636120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588636120 |
Entity Type | Individual |
Full Name | BRENDA LEE LARSON |
Credential | FNP-C |
Practice Address |
15132 E Hampden Ave Ste G Aurora CO 80014-5038 |
Mailing Address |
3701 S Broadway Englewood CO 80113-3611 |
Practice Telephone | 3033606276 |
Mailing Telephone | 3033606276 |
Mailing Fax Number | 3037612787 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2019-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
105593 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 83280839 | 05 | |
MEDICARE | CO306791 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5500 S Sycamore St, Littleton, CO 801208201 | 3037308858 | 3038890838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609909985 | Brenda Kaye Larson | Counselor | 921 14th Ave, Lower Columbia Mental Health Ctr, Longview, WA 98632 | 2007-03-14 |
1952310237 | Brenda R Larson | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-08-05 |
Street Address |
15132 E HAMPDEN AVE STE G |
City | AURORA |
State | CO |
Zip Code | 80014-5038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255987350 | Jayme Ann Konde | Social Worker | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2019-08-14 |
1194297515 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2018-12-24 |
1427535392 | Sylvia Michelle Jones | Registered Nurse | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2018-07-24 |
1649795840 | Olivia Maria Perez -amick | Social Worker | 15132 E Hampden Ave Ste G, Aurora, CO 80014 | 2017-08-08 |
1013445477 | Kendra Nicole Brandt | Physician Assistant | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2017-05-30 |
1942752795 | Heather Allyson Scott | Registered Nurse | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2016-10-27 |
1528496049 | Sarah Elaine Lemley | Physician Assistant | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2013-10-18 |
1144489675 | Metro Community Provider Network, Inc. | Clinic/Center | 15132 E Hampden Ave Ste G, Aurora, CO 80014-5038 | 2008-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
Find all providers in zip 80014 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
1841807617 | Kanwal Jiwani | Nurse Practitioner | 2670 Clara Ave, Aurora, IL 60502-9653 | 2020-09-25 |
1336757384 | Angela Kay Savage | Nurse Practitioner | 2600 S Parker Rd Unit 2, Aurora, CO 80014-1613 | 2020-07-15 |
1700403029 | Peter M Quansah | Nurse Practitioner | 25204 E Byers Dr, Aurora, CO 80018-4661 | 2020-07-02 |
1427674654 | Megan D Edwards | Nurse Practitioner | 2600 S Parker Rd Bldg 2-120, Aurora, CO 80014-1613 | 2020-06-23 |
1720602097 | Sofia Figueroa | Nurse Practitioner | 157 S Lincoln Ave Ste K, Aurora, IL 60505-4291 | 2020-06-02 |
1588290456 | Andrea Holmes | Nurse Practitioner | 9982 Windjammer Trl, Aurora, OH 44202-9026 | 2020-03-23 |
Find all providers in AURORA |
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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.