IRENE LARSON (NPI# 1699805861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699805861 |
| Entity Type | Individual |
| Full Name | IRENE LARSON |
| Credential | RD |
| Practice Address |
700 Katlian St Ste E Sitka AK 99835-7359 |
| Practice Telephone | 9077475861 |
| Practice Fax Number | 9077475415 |
| Mailing Telephone | 9077475861 |
| Mailing Fax Number | 9077475415 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 85 | AK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DT34621 | 05 |
| Street Address |
700 KATLIAN ST STE E |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245388 | Kimberly Lynn Bakkes | Family Medicine | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2006-05-23 |
| 1821652231 | Andrew Spicer | Physical Therapist | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2019-05-01 |
| 1609394410 | Lori Laing | Massage Therapist | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2017-08-31 |
| 1427583426 | Drew Clyde Thompson | Internal Medicine | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2017-04-27 |
| 1538521026 | Southeast Alaska Regional Health Constortium | Clinic/Center | 700 Katlian St Ste E, Sitka, AK 99835 | 2016-03-23 |
| 1861787095 | Jessica Pyatt | Physical Therapist | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2011-06-15 |
| 1528199254 | Sitka Physical Therapy | Prosthetic/Orthotic Supplier | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-07 |
| 1154452878 | Sitka Medical Center | Durable Medical Equipment & Medical Supplies | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-07 |
| 1598895930 | Eric Speck | Physical Medicine & Rehabilitation | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-06 |
| 1093845463 | Paul Columb | Physical Therapist | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| 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 |
|---|---|---|---|---|
| 1720569791 | Katherine Elizabeth Carroll | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-08-27 |
| 1700388865 | Kelly Elizabeth Lakin | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-03-05 |
| 1003244435 | Jessica Holland | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2013-10-22 |
| 1720382500 | Carrie Dawn King | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2011-01-07 |
| 1679778849 | Elizabeth Ann Watanabe | Dietitian, Registered | 222 Tongass Dr, Medical Nutrition Services, Sitka, AK 99835-9416 | 2007-06-18 |
| 1578779005 | Kelly A Whitcomb-tincher | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-05-14 |
| 1063459600 | Susan Hoyt | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2006-06-01 |
| 1437136041 | Tiffany Nicolle Andres | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631759 | Britta Amber Brecheen | Dietitian, Registered | 3403 Lois Dr, Anchorage, AK 99517-2000 | 2020-08-24 |
| 1518579473 | Soleil Thiele | Dietitian, Registered | 2210 N Broadway Dr, Palmer, AK 99645-9316 | 2020-08-20 |
| 1619593449 | Audrey Conrad | Dietitian, Registered | 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 | 2020-06-17 |
| 1952934895 | Lea Palmer | Dietitian, Registered | 22835 Glacier View Dr, Eagle River, AK 99577-9560 | 2020-02-19 |
| 1457919227 | Janne Holmberg Maier | Dietitian, Registered | 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 | 2019-06-05 |
| 1326506866 | Balance and Nourish | Dietitian, Registered | 25 Jefferson Way Ste 101b, Ketchikan, AK 99901-5953 | 2019-03-04 |
| 1396217261 | Angela Marie Colburn | Dietitian, Registered | 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 | 2018-12-17 |
| 1730658493 | Emily Nicole Henry | Dietitian, Registered | 97 Eichner Ave, Ketchikan, AK 99901-9033 | 2018-11-24 |
| 1063997096 | Sabrina Kay Cabana | Dietitian, Registered | 7900 Evander Dr, Anchorage, AK 99518-3107 | 2018-09-25 |
| 1700381134 | Kimberly Leinani Wilcox | Dietitian, Registered | 621 W Dimond Blvd, Anchorage, AK 99515-1704 | 2018-03-27 |
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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.