ALYSSA LARSON (NPI# 1871044453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871044453 |
| Entity Type | Individual |
| Full Name | ALYSSA LARSON |
| Practice Address |
601 11th St Ne Watertown SD 57201-1833 |
| Practice Telephone | 6058826399 |
| Mailing Telephone | 6058826399 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
69808-1 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667447 | Alyssa Jewel Larson | Nurse Practitioner | 207 Spears Ave, Chattanooga, TN 37405-3840 | 2020-04-08 |
| 1881161271 | Alyssa Ann Larson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2018-10-24 |
| Street Address |
601 11TH ST NE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548711542 | Marnie Hoftiezer | Occupational Therapist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-14 |
| 1356892855 | Janet Workman | Speech-Language Pathologist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-19 |
| 1306397963 | Ruth Fodness | Psychologist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-19 |
| 1285185876 | Carolyn Holien | Speech-Language Pathologist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860231 | Joseph Ambrose | Psychologist | 324 French St, Watertown, CT 06795-2929 | 2019-03-18 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1356603989 | Ashley Buckley | Psychologist | 126 Bishop St, Watertown, NY 13601-4604 | 2012-06-11 |
| 1306397963 | Ruth Fodness | Psychologist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-19 |
| 1093052524 | Rebecca Garner | Psychologist | 16783 Ives Street Road, Watertown, NY 13601 | 2013-01-03 |
| 1710235445 | Carol Barkley | Psychologist | 16783 Ives Street Ext, Little Lukes, Milestones Children's Center, Watertown, NY 13601-5312 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671332 | Diane M. Mueller | Psychologist | 36762 274th Street, Platte, SD 57369 | 2016-11-04 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1285180802 | James Calmus | Psychologist | 201 East 38th St, Attn Cindy Bartlett, Sioux Falls, SD 57105 | 2016-09-01 |
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1275080889 | Lance Koenig | Psychologist | 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 | 2016-09-01 |
| 1245786847 | Sam Leinen | Psychologist | 201 East Thirty-eighth St, Sioux Falls, SD 57105-5898 | 2016-09-01 |
| 1457805806 | Jaclyn Marie Braa | Psychologist | 2304 E 17th St, Sioux Falls, SD 57103-2318 | 2016-08-14 |
| 1265985774 | Penny Petrik | Psychologist | 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 | 2016-08-02 |
| 1932552015 | Beth Prasek | Psychologist | 512 N Garfield Ave, Dell Rapids, SD 57022-1719 | 2016-07-13 |
| 1518318914 | Stephen Gilles | Psychologist | 612 S Main Ave, Platte, SD 57369-2117 | 2016-06-27 |
| 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.