DR. KRISTIN LARSON (NPI# 1811325319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811325319 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN LARSON |
| Credential | ED.D. |
| Practice Address |
940 W Fremont St Galesburg IL 61401-2558 |
| Practice Telephone | 3093689850 |
| Mailing Telephone | 3093689850 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
071006423 | IL | Behavioral Health & Social Service 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 |
| 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 |
| 1336162577 | Kristin I Larson | Family Medicine | 1008 S 38th Ave, Yakima, WA 98902-0000 | 2006-07-26 |
| Street Address |
940 W FREMONT ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093077398 | Daniel Larson | Psychologist | 940 W Fremont St, Galesburg, IL 61401-2558 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306071634 | Amy Kay Embury | Psychologist | 9673 Candytuft, Galesburg, MI 49053-7724 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849791 | Matthew King | Psychologist | 2500 Galen Dr Ste 4, Champaign, IL 61821-7050 | 2020-10-17 |
| 1790392439 | Julie Kopf | Psychologist | 1301 S Prospect Ave, Park Ridge, IL 60068-5344 | 2020-09-27 |
| 1568088771 | Psychological Services Center Inc. | Psychologist | 3110 N Sheffield Ave, Chicago, IL 60657-6700 | 2020-06-23 |
| 1124652185 | Soffiya A Siddiqui | Psychologist | 3124 Treesdale Ct, Naperville, IL 60564-4609 | 2020-02-28 |
| 1902437510 | Philip James Cooke | Psychologist | 25 E Washington St Ste 1506, Chicago, IL 60602-1849 | 2020-02-01 |
| 1356971170 | Greenpath Clinic | Psychologist | 2132 Deep Water Ln Ste 240, Naperville, IL 60564-8565 | 2020-01-21 |
| 1356971527 | Nubia Janette Guzman | Psychologist | 137 N Oak Park Ave Ste 403, Oak Park, IL 60301-1344 | 2020-01-16 |
| 1750921078 | Insights Therapeutic Services, LLC | Psychologist | 1820 Ridge Rd Ste 303r, Homewood, IL 60430-1759 | 2020-01-15 |
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
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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.