MRS. MARY F LARSON (NPI# 1619133832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619133832 |
| Entity Type | Individual |
| Full Name | MRS. MARY F LARSON |
| Credential | LRD, MPH |
| Practice Address |
306 4th Street North Fargo ND 58102-4820 |
| Mailing Address |
Po Box 2625 Family Healthcare Center Fargo ND 58108-2625 |
| Practice Telephone | 7012713344 |
| Practice Fax Number | 7012713343 |
| Mailing Telephone | 7012713344 |
| Mailing Fax Number | 7012713343 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 435 | ND | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1932368420 | Mary F Larson | Social Worker | 2810 Whistler St, West Melbourne, FL 32904-7488 | 2008-06-09 |
| 1225217342 | Mary Larson | Case Manager/Care Coordinator | 600 Colonel Dr, Garland, TX 75043-2302 | 2007-10-25 |
| 1326524695 | Mary S Larson | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-07-19 |
| 1194279596 | Mary Frances Larson | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2016-08-15 |
| 1083952022 | Mary Louise Larson | Occupational Therapist | 425 Davis St, Hammond, WI 54015-9615 | 2013-01-25 |
| 1578823357 | Mary M Larson | Massage Therapist | 120 Elk Ave., Crested Butte, CO 81224 | 2012-05-25 |
| 1043346687 | Mary St. John Larson | Specialist | 2301 Park Ave, #209, Orange Park, FL 32073-5565 | 2007-02-26 |
| 1225189608 | Mary E. Larson | Nurse Practitioner | 10277 N 92nd St, Suite 101, Scottsdale, AZ 85258-4564 | 2007-01-14 |
| 1639283484 | Mary B. Larson | Occupational Therapist | 3915 Golden Valley Rd, Minneapolis, MN 55422-4249 | 2006-08-18 |
| Street Address |
306 4TH STREET NORTH |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446329 | Alexis Ann Allen | Dietitian, Registered | 1749 38th St S, Fargo, ND 58103-4442 | 2020-01-26 |
| 1487171245 | Presticor, Inc. | Dietitian, Registered | 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 | 2017-08-23 |
| 1558882092 | Stephanie E Scott | Dietitian, Registered | 2701 University Dr S, Fargo, ND 58103-6027 | 2017-07-06 |
| 1912234071 | Mary Monica Russell | Dietitian, Registered | 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 | 2009-11-11 |
| 1629221395 | Joan Pietron Carlisle | Dietitian, Registered | 2121 Elm Street North, Fargo Va Medical Center, Fargo, ND 58102 | 2008-10-28 |
| 1386829844 | Jackie R Griffiths | Dietitian, Registered | 4474 23rd Ave S Ste M, Fargo, ND 58104-8795 | 2008-01-03 |
| 1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
| 1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
| 1639786742 | Sam Lucas Scardigli | Dietitian, Registered | 1600 University Dr N, Fargo, ND 58105-2502 | 2020-09-23 |
| 1710507561 | Brittany Nicole Twiss | Dietitian, Registered | 820 4th St N, Fargo, ND 58102-4539 | 2020-04-22 |
| Find all providers in FARGO | ||||
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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.