MS. PAULA LYNN LARSON (NPI# 1831107663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831107663 |
| Entity Type | Individual |
| Full Name | MS. PAULA LYNN LARSON |
| Credential | CRNP |
| Practice Address |
6120-b Woodland Ave 2nd Floor Philadelphia PA 19142 |
| Mailing Address |
4700 Wissahickon Avenue Suite 118 Philadelphia PA 19144 |
| Practice Telephone | 2157274721 |
| Mailing Telephone | 2675973654 |
| Mailing Fax Number | 2675973622 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN349585L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | TP004902B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
TP004902B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
TP004902B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447338900 | Paula W Larson | Social Worker | 2631 South Packerland Dr, Suite 104 F, Green Bay, WI 54313-4130 | 2006-11-01 |
| 1902846033 | Paula R Larson | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| Street Address |
6120-B WOODLAND AVE 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449782 | Summit Health and Wellness LLC | Clinic/Center | 6200 Woodland Ave, 62nd Woodland Ave. Woodland Village Shopping Center, Philadelphia, PA 19142 | 2020-08-25 |
| 1275187742 | Dolls Homecare Agency, LLC. | Home Health | 6440 Garman Street, Philadelphia, PA 19142 | 2019-08-01 |
| 1467921015 | Francis Chiejine | Registered Nurse | 6200-b Woodland Ave, 2nd Floor, Philadelphia, PA 19142 | 2018-11-13 |
| 1689142887 | Rachel B Reed | Social Worker | 6120-b Woodland Ave., 2nd Floor, Philadelphia, PA 19142 | 2018-11-06 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| 1710402748 | Daniel Ermilus | Home Health Aide | 6533 Linmore Ave, Philadelphia, PA 19142 | 2017-08-10 |
| 1669710844 | Yen-pei Huang | Counselor | 7042 Elmwood Ave., Philadelphia, PA 19142 | 2013-01-23 |
| 1104110311 | Annette Deigh | Social Worker | 6120b Woodland Avenue, Philadelphia, PA 19142 | 2011-06-06 |
| 1992096051 | Rath Sun | Pharmacy Technician | 2843 Bittern Place, Philadelphia, PA 19142 | 2011-04-25 |
| 1245538016 | Thomas Mccluskey | Social Worker | 7042 Elmwood Avenue, Philadelphia, PA 19142 | 2011-03-03 |
| Find all providers in zip 19142 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| 1801411855 | Betty Sophia Glauberzon | Nurse Practitioner | 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 | 2020-06-15 |
| 1356966717 | Lorraine Denise Hicks | Nurse Practitioner | 7923 Gilbert St, Philadelphia, PA 19150-2505 | 2020-06-11 |
| 1740813682 | Marina Rakitskaya | Nurse Practitioner | 9816 Bonner St, Philadelphia, PA 19115-2304 | 2020-02-19 |
| 1841755014 | Kristen M Wright | Nurse Practitioner | 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 | 2019-02-01 |
| 1649745241 | Chermal Rondell Moore | Nurse Practitioner | 1017 W Beacon St, Philadelphia, MS 39350-3218 | 2018-10-10 |
| 1588148175 | Eileen Mangabat Hummel | Nurse Practitioner | 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 | 2018-09-19 |
| 1225532344 | Stacy Lynn Brix | Nurse Practitioner | 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 | 2018-03-22 |
| 1275037087 | Esther Andreessen | Nurse Practitioner | 3457 Eden St, Philadelphia, PA 19114-3605 | 2018-03-19 |
| 1265931570 | Maia Lindsey Francis | Nurse Practitioner | 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 | 2018-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19142 |
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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.