JANET A LARSON (NPI# 1659349934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659349934 |
Entity Type | Individual |
Full Name | JANET A LARSON |
Credential | PSYNP, PHD, FNP |
Practice Address |
200 Bunker Hill Dr Aitkin MN 56431-1865 |
Practice Telephone | 2187684011 |
Practice Fax Number | 2187684814 |
Mailing Telephone | 2189272157 |
Mailing Fax Number | 2189274130 |
Enumeration Date | 2006-03-10 |
Last Update Date | 2019-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R133861-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R133861-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICARE WPS - HOSPITAL | 500001767 | 01 |
MN | MEDICARE WPS - MCGREGOR | 500001764 | 01 |
MN | 632607200 | 05 | |
MN | 1659349934 | 05 | |
MN | MEDICARE WPS | 500003868 | 01 |
MN | MEDICARE WPS - AITKIN CLI | 500001766 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780027425 | Janet Larson | Massage Therapist | 44777 N Hills Dr Apt N119, Northville, MI 48167-2135 | 2013-04-11 |
1205876356 | Janet E. Larson | Pediatrics | 111 S. 11th Street, Philadelphia, PA 19107-4824 | 2006-06-07 |
1831159326 | Janet Carlisle Larson | Hospitalist | 2014 Washington St, Newton-wellesley Hospital, Newton, MA 02462-1607 | 2006-03-27 |
1649255530 | Janet L Larson | Internal Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-13 |
Street Address |
200 BUNKER HILL DR |
City | AITKIN |
State | MN |
Zip Code | 56431-1865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174515506 | John Wesley Ziebarth | Nurse Anesthetist, Certified Registered | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2005-08-22 |
1124674478 | St Cloud Hospital | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2019-08-13 |
1497217194 | Aitkin Community Hospital Inc. | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2019-04-02 |
1942735709 | Tony Blankers | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2017-04-28 |
1285094318 | Kathleen Halbert | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2016-03-02 |
1588022958 | Karen Bartron-sundeen | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2016-02-01 |
1609254150 | Megan Zilmer | Dietitian, Registered | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2015-05-15 |
1548682354 | Michael Angelo Eannelli | Pharmacist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2014-01-14 |
1609217223 | Megan M Workman | Advanced Practice Midwife | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-07-11 |
1447690052 | Lisa M Thompson | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
1518379288 | Mclean Severson | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2014-05-28 |
1841384450 | Patrick L Holder | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
1902991318 | John E Fossen | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
Find all providers in zip 56431 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.