KELSIE ELIZABETH LARSON (NPI# 1770079949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770079949 |
| Entity Type | Individual |
| Full Name | KELSIE ELIZABETH LARSON |
| Credential | RD |
| Practice Address |
401 W Pennsylvania Ave Anaconda MT 59711-1931 |
| Practice Telephone | 4065638551 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MED-NUTR-LIC-591 | MT | Dietary & Nutritional Service Providers |
| Street Address |
401 W PENNSYLVANIA AVE |
| City | ANACONDA |
| State | MT |
| Zip Code | 59711-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174502280 | Andre Michael Pennardt | Emergency Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2006-01-17 |
| 1649894825 | Amanda Lynn Gange | Physical Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1999 | 2020-06-03 |
| 1396229613 | Alisa Sullivan | Registered Nurse | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2018-09-21 |
| 1659822526 | Community Hospital of Anaconda | Occupational Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-17 |
| 1972054856 | Community Hospital of Anaconda | Occupational Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-17 |
| 1417408394 | Rehab Department | Occupational Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-17 |
| 1093265035 | Community Hospital of Anaconda | Clinic/Center | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-13 |
| 1205238052 | Melissa Tyvand | Dietitian, Registered | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2014-09-24 |
| 1841609625 | Katilyn Marie Fleury | Physical Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2014-08-06 |
| 1629310297 | Nathan Cook | Internal Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2013-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
| 1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
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| 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 |
|---|---|---|---|---|
| 1205238052 | Melissa Tyvand | Dietitian, Registered | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077964 | Hannah Wilson | Dietitian, Registered | 224 Columbia Ave, Whitefish, MT 59937-2632 | 2020-09-11 |
| 1992319669 | Colleen Rose Mcmilin | Dietitian, Registered | 562 Enterprise Blvd Apt 49, Bozeman, MT 59718-5133 | 2020-09-01 |
| 1649893140 | Lorelei Nutrition | Dietitian, Registered | 213 N Broadway Ste 4, Billings, MT 59101-1972 | 2020-05-19 |
| 1366061913 | Amelia Tavares | Dietitian, Registered | 1 Valley View Dr Ste 104, Montana City, MT 59634-9203 | 2020-04-14 |
| 1093341133 | Chloe Lundquist | Dietitian, Registered | 626 1/2 W Galena St, Butte, MT 59701-1508 | 2020-03-20 |
| 1609401496 | Cailyn Schroeder | Dietitian, Registered | 117 Hideaway Trl, Livingston, MT 59047-8933 | 2020-03-11 |
| 1801431978 | Ashlee O'dell | Dietitian, Registered | 144 3rd St W Apt 3, Whitefish, MT 59937-3055 | 2019-11-13 |
| 1750933891 | Mercedes Seidel | Dietitian, Registered | 309 E Garfield St Apt F, Bozeman, MT 59715-5729 | 2019-07-09 |
| 1225696834 | Linda Kay Fredenberg | Dietitian, Registered | 1297 Burns Way Ste 3b, Kalispell, MT 59901-3162 | 2019-05-30 |
| 1659832939 | Rene Lindeen LLC | Dietitian, Registered | 1215 24th St W Ste 130, Billings, MT 59102-3895 | 2019-03-28 |
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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.