MS. CHRISTINE MARIE LARSEN (NPI# 1780121293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780121293 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE MARIE LARSEN |
| Credential | RN, PNP |
| Practice Address |
74 Loomis St Bedford MA 01730-2248 |
| Practice Telephone | 7816742900 |
| Mailing Telephone | 7816742900 |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
283535 | MA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
283535 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 57 Bedford St, Lexington, MA 024204500 | 7818614110 | 7818632007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629230206 | Christine Leeann Larsen | Ophthalmology | 9801 Dupont Ave S, Bloomington, MN 55431-3100 | 2008-06-25 |
| 1003975822 | Christine J. Larsen | Nurse Practitioner | 3580 Pacific Ave, Tacoma, WA 98418-7915 | 2006-12-07 |
| 1336155233 | Christine E Larsen | Radiology | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2006-07-31 |
| Street Address |
74 LOOMIS ST |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755688 | Mitchell J Feldman | Pediatrics | 74 Loomis St, Patriot Pediatrics, Bedford, MA 01730-2248 | 2005-10-28 |
| 1659557452 | Elaine Rothstein | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2008-01-11 |
| 1871779587 | Carissa Glavine | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2008-01-11 |
| 1710194410 | Patriot Pediatrics | Pediatrics | 74 Loomis St, Bedford, MA 01730-2248 | 2007-05-16 |
| 1144326059 | Tara Lee Stevens | Nurse Practitioner | 74 Loomis St, Bedford, MA 01730-2248 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770114027 | Eileen Marie Hickey | Nurse Practitioner | 29 Webber Ave, Bedford, MA 01730-2212 | 2020-01-27 |
| 1841799376 | Julia Michelle Mckellar | Nurse Practitioner | 2213 Martin Dr, Bedford, TX 76021-6245 | 2018-02-11 |
| 1083273825 | Cathern Amanda Pruett | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2019-06-06 |
| 1710544093 | Alisha Renee Stiles | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2019-05-22 |
| 1952785966 | Alexandra Freeman | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2015-07-20 |
| 1023457637 | Jamie R Bohnke | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2013-06-17 |
| 1154665313 | Rachael E Mullis | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2012-11-12 |
| 1598052201 | Patricia L Archilles | Nurse Practitioner | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2011-07-01 |
| 1376867598 | Amanda Starks | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2010-03-17 |
| 1407051436 | Allison L Townley | Nurse Practitioner | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2007-06-19 |
| Find all providers in BEDFORD | ||||
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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.