JESSICA LEE LARSON (NPI# 1770096265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770096265 |
| Entity Type | Individual |
| Full Name | JESSICA LEE LARSON |
| Credential | CCC-SLP |
| Practice Address |
4183 Sunnyslope Rd Sw Port Orchard WA 98367-7677 |
| Mailing Address |
9160 Kristi Ct Nw Bremerton WA 98311-9010 |
| Practice Telephone | 3604433503 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 60779490 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA) | 14074866 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214731 | Jessica Larson | Specialist/Technologist | W3173 County Road Pp, Sheboygan Falls, WI 53085-2533 | 2015-05-17 |
| 1780200238 | Jessica Lynn Larson | Student in an Organized Health Care Education/Training Program | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2020-06-21 |
| 1023646528 | Jessica Larson | Behavior Technician | 9167 W Flamingo Rd, Las Vegas, NV 89147-6472 | 2020-03-30 |
| 1891254298 | Jessica Larson | Occupational Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2019-03-15 |
| 1609377647 | Jessica Ann Larson | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-26 |
| 1629427018 | Jessica Larson | Dietitian, Registered | 6401 France Ave S, Southdale Hospital Ll10, Edina, MN 55435-2104 | 2016-06-07 |
| 1811391246 | Jessica Larson | Pharmacist | 2564 Barataria Blvd, Marrero, LA 70072-5304 | 2014-10-14 |
| 1104232800 | Jessica Larson | Counselor | 230 W Wells St Ste 312, Milwaukee, WI 53203-1837 | 2014-07-02 |
| 1558774844 | Jessica Larson | Counselor | 1255 Pearl St, #102, Eugene, OR 97401-3570 | 2014-06-04 |
| 1356777932 | Jessica B Larson | Physical Therapist | 4150 Clement St, San Francisco, CA 94121-1545 | 2013-09-16 |
| Street Address |
4183 SUNNYSLOPE RD SW |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98367-7677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432905 | Harbor Counseling Pllc | Counselor | 1097 Sw Matrix Ln, Port Orchard, WA 98367 | 2018-10-11 |
| 1275055865 | Jennifer Lorene Champion | Nutritionist | 2561 Sw Siskin Circle, Port Orchard, WA 98367 | 2017-07-14 |
| 1912446147 | Hunter Hutchison Severt | Physical Therapy Assistant | 2650 Sw Youwod Way, Port Orchard, WA 98367 | 2017-02-21 |
| 1326202615 | Prashant P Makadia | Dentist | 417 Sw Sedgwick Rd, Suite 101, Port Orchard, WA 98367 | 2008-07-15 |
| 1346285202 | Rachel L Burgett | Nurse Practitioner | 7926 Promenade Lane, Port Orchard, WA 98367 | 2006-06-17 |
| 1184667149 | Julie Marie Gostin | Occupational Therapist | 8403 View Park Dr., Port Orchard, WA 98367 | 2006-06-14 |
| 1205882826 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 370 Sw Sedgwick Rd, Port Orchard, WA 98367 | 2006-05-25 |
| 1376501643 | Mvp Physical Therapy, Inc. | Physical Therapist | 451 Sw Sedgwick Rd., Suite 310, Port Orchard, WA 98367 | 2006-05-03 |
| 1558478818 | Franciscan Medical Group | Family Medicine | 451 Sw Sedgwick Rd, Ste 110, Port Orchard, WA 98367 | 2006-08-24 |
| 1215900303 | Mark Ian Anderson | Urology | 450 S. Kitsap Blvd., Franciscan Urology Associates, Suite 210, Port Orchard, WA 98367-0001 | 2006-02-09 |
| Find all providers in zip 98367 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979565 | Angela Renee Jensen | Speech-Language Pathologist | 463 Tremont St W Ste 110, Port Orchard, WA 98366-3743 | 2020-10-13 |
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1245667898 | Joey L Snoke | Speech-Language Pathologist | 1964 Hoover Ave Se, Port Orchard, WA 98366-3034 | 2013-09-27 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| 1568668820 | Terra Lynn Boulse | Speech-Language Pathologist | 1008 Bethel Avenue, Suite E, Port Orchard, WA 98366 | 2007-06-25 |
| 1386718955 | Gwendolyn Marie Torgerson | Speech-Language Pathologist | 1008 Bethel Ave Ste E, Port Orchard, WA 98366-4236 | 2006-11-17 |
| 1710359401 | Kim Christine Hilderbrandt | Speech-Language Pathologist | 2689 Hoover Ave Se, Port Orchard, WA 98366-3013 | 2015-10-21 |
| 1689051831 | Heather B. Tonder | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366-5214 | 2015-04-27 |
| 1992987606 | Misty Noelani Kim | Speech-Language Pathologist | 1008 Bethel Ave Ste E, Port Orchard, WA 98366-4236 | 2007-12-04 |
| 1295953909 | Kitsap Speech Language Pathology Services | Speech-Language Pathologist | 1008 Bethel Ave, Suite E, Port Orchard, WA 98366-4235 | 2007-04-20 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98367 |
Please comment or provide details below to improve the information on JESSICA LEE LARSON.
| 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.