KRISTIN MICHELLE LARSON (NPI# 1730142142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730142142 |
| Entity Type | Individual |
| Full Name | KRISTIN MICHELLE LARSON |
| Credential | PAC |
| Practice Address |
3955 Parklawn Ave Suite 120 Edina MN 55435-5655 |
| Practice Telephone | 9528314454 |
| Practice Fax Number | 9522786947 |
| Mailing Telephone | 9528314454 |
| Mailing Fax Number | 9522786947 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9474 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| 1659427466 | Kristin Elizabeth Larson | Licensed Practical Nurse | 4869 195th St, Chippewa Falls, WI 54729-9101 | 2007-01-25 |
| 1427166461 | Kristin M Larson | Nurse Practitioner | 650 East 4500 South, Suite 210, Salt Lake City, UT 84107 | 2006-08-29 |
| 1427678143 | Kristin Larson | Psychologist | 2930 E Northern Ave Ste A105, Phoenix, AZ 85028-4844 | 2020-04-22 |
| 1568931780 | Kristin Larson | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2018-11-16 |
| 1376061697 | Kristin Anita Larson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2017-09-07 |
| 1811325319 | Kristin Larson | Psychologist | 940 W Fremont St, Galesburg, IL 61401-2558 | 2013-10-18 |
| 1215276894 | Kristin Lee Larson | Speech-Language Pathologist | 100 W Ramsey St, Dawson Springs, KY 42408-1739 | 2013-02-02 |
| 1922305838 | Kristin Marie Larson | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2011-02-13 |
| 1962734335 | Kristin Ann Larson | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2010-02-09 |
| Street Address |
3955 PARKLAWN AVE SUITE 120 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748307 | Lifescan Minnesota LLC | Clinic/Center | 3955 Parklawn Ave, Ste 110, Edina, MN 55435-5657 | 2005-05-23 |
| 1033506357 | Lauren Bray | Student in an Organized Health Care Education/Training Program | 3955 Parklawn Ave, Edina, MN 55435-5655 | 2015-04-24 |
| 1073831269 | Shannon Nicole Bailey Nolan | Pediatrics | 3955 Parklawn Ave, Suite 200, Edina, MN 55435-5655 | 2010-05-12 |
| 1790002889 | Megan Landry Stalpes | Pediatrics | 3955 Parklawn Ave, Edina, MN 55435-5655 | 2010-04-28 |
| 1528291168 | Karen E Tamte | Pediatrics | 3955 Parklawn Ave, Suite 120, Edina, MN 55435-5655 | 2009-08-31 |
| 1134354608 | Elsa Victoria Fiebiger | Pediatrics | 3955 Parklawn Ave, Suite 200, Edina, MN 55435-5655 | 2009-05-27 |
| 1356576938 | Megan Colleen Iliev | Pediatrics | 3955 Parklawn Ave, Suite 200, Edina, MN 55435-5655 | 2009-05-26 |
| 1649443920 | Amy Lynne Wudel | Pediatrics | 3955 Parklawn Ave, Suite 200, Edina, MN 55435 | 2008-04-08 |
| 1992975494 | Krista Rose Hagen | Pediatrics | 3955 Parklawn Ave, Suite 120, Edina, MN 55435-5655 | 2008-03-11 |
| 1245305895 | Southdale Pediatric Associates, Ltd | Clinic/Center | 3955 Parklawn Ave, Ste 120, Edina, MN 55435-5655 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033756168 | Chandler R Hutton | Physician Assistant | 6550 York Ave S Ste 112, Edina, MN 55435-2332 | 2019-12-09 |
| 1619529369 | Mh 101, PC | Physician Assistant | 6801 Washington Ave S Ste 100, Edina, MN 55439-1523 | 2019-07-12 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1346676319 | Catherine Anne Cecconi | Physician Assistant | 6545 France Ave S Ste 586, Edina, MN 55435 | 2013-09-22 |
| 1255619813 | Evan M Burgart | Physician Assistant | 6363 France Ave S Ste 400, Edina, MN 55435-2130 | 2011-08-01 |
| 1962737981 | Melissa Faye Hall | Physician Assistant | 6363 France Avenue South, Suite 400, Edina, MN 55435 | 2009-10-08 |
| 1588825145 | Bennett Ezra Goltz | Physician Assistant | 6363 France Ave S Ste 103, Edina, MN 55435 | 2008-06-17 |
| 1013105907 | Maisy Monica Sanneman | Physician Assistant | 6525 France Ave. S., Suite 200, Edina, MN 55435 | 2007-10-05 |
| 1699701672 | Sarah Teresa Bot | Physician Assistant | 6525 France Ave South, Suite 100, Edina, MN 55435-3624 | 2006-06-23 |
| 1336108224 | J Robert Noel IIi | Physician Assistant | Fairview Geriatric Services, 7505 Metro Blvd Suite 100, Edina, MN 55439 | 2006-03-21 |
| Find all providers in EDINA | ||||
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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.