MS. JEAN TERESA LARSON (NPI# 1801257332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801257332 |
| Entity Type | Individual |
| Full Name | MS. JEAN TERESA LARSON |
| Credential | PMHNP-BC |
| Practice Address |
3301 7th Ave Anoka MN 55303 |
| Mailing Address |
3301 7th Ave Anoka MN 55303-4516 |
| Practice Telephone | 6513145181 |
| Practice Fax Number | 6514317719 |
| Mailing Telephone | 6513145181 |
| Mailing Fax Number | 6514317719 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP 4243 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922536754 | Jean M Larson | Dietitian, Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-05-24 |
| 1487095410 | Jean A Larson | Social Worker | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2013-07-05 |
| 1033206941 | Jean M Larson | Internal Medicine | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-10-10 |
| 1295836732 | Jean E Larson | Physician Assistant | 2405 Osler Ct, Meredyth Professional Plaza, Albany, GA 31707 | 2006-09-26 |
| Street Address |
3301 7TH AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368001 | Matthew Splett | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2005-06-30 |
| 1619587078 | Mary Accomando | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2020-07-31 |
| 1619512621 | Chinedu Uzoma Odurukwe | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-11-13 |
| 1003461864 | Haron Nyakundi Manwa | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-08-07 |
| 1750819223 | Shelly Lynn Lettmann | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2017-05-30 |
| 1801320817 | Andrew Zwack | Pharmacist | 3301 7th Ave, Pharmacy, Anoka, MN 55303-4516 | 2017-04-17 |
| 1801240205 | Ernestine Mambo | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2016-04-21 |
| 1932575305 | Peg Fitzgerald Hintz | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-08-19 |
| 1942688957 | Benjamin Gerndt Otopalik | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-05-11 |
| 1871987024 | Andrea Lundberg | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1093950453 | Elaine Hedlund Fitzgerald | Nurse Practitioner | 3301 7th Avenue North, Anoka, MN 55303 | 2008-12-12 |
| 1144321712 | Gretchen Sauby Alper | Nurse Practitioner | 3301 7th Ave N, Amrtc, Anoka, MN 55303 | 2006-09-26 |
| 1619512621 | Chinedu Uzoma Odurukwe | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-11-13 |
| 1003461864 | Haron Nyakundi Manwa | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-08-07 |
| 1730637588 | Joseph Agbor Akoh | Nurse Practitioner | 1833 3rd Ave, Anoka, MN 55303-2424 | 2016-09-21 |
| 1124428222 | Jill Maria Scott | Nurse Practitioner | 630 E Main St, Anoka, MN 55303 | 2014-08-26 |
| 1346671278 | Lorri Ann Kenny | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2013-12-03 |
| 1285871277 | Sandra R Lindell | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2009-01-13 |
| Find all providers in ANOKA | ||||
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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.